Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home
›
HI
›
KAILUA KONA
› WALMART INC.
WALMART INC.
NPI: 1811914161 · KAILUA KONA, HI 96740 ·
332B00000X
$9K
Total Medicaid Paid
241
Total Claims
241
Beneficiaries
6
Codes Billed
2021-05
First Month
2023-10
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
133
$5K
2022
95
$4K
2023
13
$129.60
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
0072A
74
74
$3K
0071A
72
72
$3K
0064A
54
54
$2K
0031A
14
14
$520.00
0012A
14
14
$421.52
90471
13
13
$129.60