WAL-MART STORES EAST LP
NPI: 1912924283
· AUBURN, ME 04210
· Durable Medical Equipment & Medical Supplies
· NPI assigned 07/16/2006
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official CANONIC, KIMBERLY controls 20+ related entities in our dataset. Read more
$274.54
Total Medicaid Paid
Provider Details
| Authorized Official | CANONIC, KIMBERLY (SENIOR DIRECTOR, ENROLLMENT) |
| NPI Enumeration Date | 07/16/2006 |
Related Entities
Other providers sharing the same authorized official: CANONIC, KIMBERLY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
141 |
$274.54 |
| 2019 |
74 |
$0.00 |
| 2020 |
34 |
$0.00 |
| 2021 |
828 |
$0.00 |
| 2022 |
123 |
$0.00 |
| 2023 |
12 |
$0.00 |
| 2024 |
38 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
62 |
58 |
$274.54 |
| 90662 |
|
113 |
113 |
$0.00 |
| 0004A |
|
72 |
72 |
$0.00 |
| 0124A |
|
29 |
29 |
$0.00 |
| 0002A |
|
36 |
36 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
264 |
264 |
$0.00 |
| 0064A |
|
191 |
191 |
$0.00 |
| 0012A |
|
200 |
200 |
$0.00 |
| 0001A |
|
57 |
57 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
13 |
12 |
$0.00 |
| 0011A |
|
201 |
201 |
$0.00 |
| 90480 |
|
12 |
12 |
$0.00 |