WAL-MART STORES EAST LP
NPI: 1902824485
· MOUNTAIN VIEW, MO 65548
· Durable Medical Equipment & Medical Supplies
· NPI assigned 07/17/2006
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official CANONIC, KIMBERLY controls 20+ related entities in our dataset. Read more
$992.42
Total Medicaid Paid
Provider Details
| Authorized Official | CANONIC, KIMBERLY (SENIOR DIRECTOR, ENROLLMENT) |
| NPI Enumeration Date | 07/17/2006 |
Related Entities
Other providers sharing the same authorized official: CANONIC, KIMBERLY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
109 |
$429.24 |
| 2019 |
132 |
$458.39 |
| 2020 |
28 |
$104.79 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
269 |
264 |
$992.42 |