WAL-MART STORES EAST LP

NPI: 1790702942 · GOLDSBORO, NC 27534 · Durable Medical Equipment & Medical Supplies · 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

$4K

Total Medicaid Paid

648

Total Claims

581

Beneficiaries

Codes Billed

2018-02

First Month

2022-01

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
0012A		30	28	$1K
0031A		17	17	$780.00
0002A		35	35	$520.00
90686		51	28	$489.06
0001A		37	37	$455.00
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	54	29	$263.69
0071A		26	26	$130.00
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	159	157	$0.00
91307		56	50	$0.00
91301		44	42	$0.00
91303		17	17	$0.00
91300		122	115	$0.00