SAMS WEST INC
NPI: 1881611168
· AURORA, CO 80016
· Durable Medical Equipment & Medical Supplies
· NPI assigned 07/16/2006
Provider Details
| Authorized Official | LEVINE, LAURA (MGR OF GOVERNMENT CONTRACTING) |
| Parent Organization | WAL-MART STORES INC |
| NPI Enumeration Date | 07/16/2006 |
Related Entities
Other providers sharing the same authorized official: LEVINE, LAURA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
16 |
$308.32 |
| 2023 |
33 |
$734.55 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90674 |
|
16 |
16 |
$451.50 |
| 0011A |
|
16 |
16 |
$308.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$283.05 |