WAL-MART STORES EAST LP
NPI: 1972520278
· LIVE OAK, FL 32060
· Durable Medical Equipment & Medical Supplies
· NPI assigned 07/16/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | MCMULLIN, MATT (DIRECTOR OF HEALTHCARE CONTRACTING) |
| NPI Enumeration Date | 07/16/2006 |
Related Entities
Other providers sharing the same authorized official: MCMULLIN, MATT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
102 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
102 |
95 |
$0.00 |