WAL-MART STORES EAST LP
NPI: 1760400626
· BLOOMINGTON, IN 47403
· Durable Medical Equipment & Medical Supplies
· NPI assigned 07/18/2006
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official LITTLE, SARAH controls 20+ related entities in our dataset. Read more
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | LITTLE, SARAH (DIRECTOR OF HEALTHCARE CONTRACTING) |
| NPI Enumeration Date | 07/18/2006 |
Related Entities
Other providers sharing the same authorized official: LITTLE, SARAH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
12 |
$0.00 |
| 2021 |
238 |
$0.00 |
| 2022 |
88 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Administration of influenza virus vaccine |
25 |
25 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
75 |
70 |
$0.00 |
| 0064A |
|
48 |
46 |
$0.00 |
| 0011A |
|
85 |
84 |
$0.00 |
| 0012A |
|
87 |
87 |
$0.00 |
| 0004A |
|
18 |
17 |
$0.00 |