WAL-MART STORES EAST LP

NPI: 1790702033 · NEW IBERIA, LA 70560 · Pharmacy · NPI assigned 07/16/2006

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official LITTLE, SARAH controls 20+ related entities in our dataset. Read more

$840.66

Total Medicaid Paid

1,627

Total Claims

1,595

Beneficiaries

Codes Billed

2018-07

First Month

2024-09

Last Month

Provider Details

Authorized Official	LITTLE, SARAH (DIRECTOR OF HEALTHCARE CONTRACTING)
NPI Enumeration Date	07/16/2006

Other providers sharing the same authorized official: LITTLE, SARAH

Provider	City	State	Total Paid
WAL-MART STORES EAST LP	TAMPA	FL	$6K
WALMART INC.	OTTUMWA	IA	$3K
WALMART INC.	BOONE	IA	$2K
WALMART INC.	CRESTON	IA	$2K
WALMART INC.	INDIANOLA	IA	$2K
WALMART INC.	KEOKUK	IA	$767.57
WALMART INC.	FOREST LAKE	MN	$692.41
WALMART INC.	WATERLOO	IA	$590.29
WALMART INC.	MANCHESTER	IA	$440.00
WALMART INC.	MAQUOKETA	IA	$404.34
WAL-MART STORES EAST LP	MIRAMAR	FL	$216.94
WAL-MART STORES EAST LP	LEESBURG	FL	$200.00
WAL-MART STORES EAST LP	HAMMOND	IN	$189.72
WALMART INC.	OWATONNA	MN	$162.92
WAL-MART STORES EAST LP	CORAL SPRINGS	FL	$160.00
WALMART INC.	STORM LAKE	IA	$156.11
WAL-MART STORES EAST LP	TALLAHASSEE	FL	$155.52
WAL-MART STORES EAST LP	SEBRING	FL	$120.00
WAL-MART STORES EAST LP	GREENACRES	FL	$120.00
WAL-MART STORES EAST LP	JACKSONVILLE	FL	$96.94

Code	Description	Claims	Beneficiaries	Total Paid
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	202	200	$840.66
0002A		29	29	$0.00
91322		19	19	$0.00
90662		113	109	$0.00
91320		33	32	$0.00
0001A		44	44	$0.00
K1034	Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count	196	196	$0.00
0011A		267	255	$0.00
0064A		148	148	$0.00
0012A		245	245	$0.00
G0008	Administration of influenza virus vaccine	165	161	$0.00
90480		52	51	$0.00
G0009	Administration of pneumococcal vaccine	57	53	$0.00
90677		57	53	$0.00