WAL-MART STORES EAST LP
NPI: 1750828000
· CARENCRO, LA 70520
· Durable Medical Equipment & Medical Supplies
· NPI assigned 01/25/2017
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official CANONIC, KIMBERLY controls 20+ related entities in our dataset. Read more
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | CANONIC, KIMBERLY (SENIOR DIRECTOR, ENROLLMENT) |
| NPI Enumeration Date | 01/25/2017 |
Related Entities
Other providers sharing the same authorized official: CANONIC, KIMBERLY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
167 |
$0.00 |
| 2022 |
21 |
$0.00 |
| 2023 |
186 |
$0.00 |
| 2024 |
125 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0009 |
Administration of pneumococcal vaccine |
17 |
17 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
21 |
21 |
$0.00 |
| 90686 |
|
34 |
34 |
$0.00 |
| 0011A |
|
51 |
48 |
$0.00 |
| 0012A |
|
49 |
49 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
139 |
138 |
$0.00 |
| 0064A |
|
50 |
50 |
$0.00 |
| 90677 |
|
17 |
17 |
$0.00 |
| 90673 |
|
39 |
39 |
$0.00 |
| 90682 |
|
18 |
17 |
$0.00 |
| 90662 |
|
47 |
47 |
$0.00 |
| 0004A |
|
17 |
17 |
$0.00 |