Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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WAL-MART STORES EAST LP

NPI: 1770500910 · BRADFORD, PA 16701 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/16/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CANONIC, KIMBERLY controls 20+ related entities in our dataset. Read more

$65K
Total Medicaid Paid
1,353
Total Claims
1,148
Beneficiaries
5
Codes Billed
2020-10
First Month
2024-05
Last Month

Provider Details

Authorized OfficialCANONIC, KIMBERLY (SENIOR DIRECTOR, ENROLLMENT)
NPI Enumeration Date07/16/2006

Related Entities

Other providers sharing the same authorized official: CANONIC, KIMBERLY

ProviderCityStateTotal Paid
WALMART INC. INDEPENDENCE IA $7K
WALMART INC. ANKENY IA $3K
WALMART INC. WINDSOR HEIGHTS IA $2K
WALMART INC. IOWA CITY IA $2K
WALMART INC. CENTERVILLE IA $2K
WALMART INC. DENISON IA $2K
WALMART INC. WEST BURLINGTON IA $1K
WALMART INC. MONTICELLO AR $1K
WALMART INC. MASON CITY IA $919.50
WAL-MART STORES EAST LP KENDALL FL $301.97
WALMART INC. WASECA MN $242.86
WAL-MART STORES EAST LP HIALEAH FL $160.00
WALMART INC. BROOKLYN PARK MN $81.46
WAL-MART STORES EAST LP EVANSVILLE IN $74.87
WALMART INC. PINE CITY MN $63.44
WALMART INC. ANAMOSA IA $41.46
WAL-MART STORES EAST LP JACKSONVILLE FL $28.39
WALMART INC. SHENANDOAH IA $22.95
WAL-MART STORES EAST LP OCALA FL $1.12
WALMART INC. FAYETTEVILLE AR $0.07

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 30 $2K
2021 359 $18K
2022 517 $25K
2023 339 $15K
2024 108 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2025 Deluxe frame 996 835 $60K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 215 177 $3K
V2784 Lens, polycarbonate or equal, any index, per lens 92 87 $1K
V2750 Anti-reflective coating, per lens 12 12 $147.00
0124A 38 37 $0.00