Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WAL-MART STORES EAST LP

NPI: 1861703274 · GARFIELD, NJ 07026 · Durable Medical Equipment & Medical Supplies · NPI assigned 06/30/2010

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

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

$579.64
Total Medicaid Paid
328
Total Claims
318
Beneficiaries
7
Codes Billed
2021-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialCANONIC, KIMBERLY (SENIOR DIRECTOR, ENROLLMENT)
NPI Enumeration Date06/30/2010

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
2021 224 $579.64
2023 66 $0.00
2024 38 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0012A 107 100 $336.00
0011A 95 94 $203.64
0064A 22 20 $40.00
90656 14 14 $0.00
90686 19 19 $0.00
G0008 Administration of influenza virus vaccine 57 57 $0.00
90662 14 14 $0.00