WALMART INC.

NPI: 1972520351 · FORT SMITH, AR 72904 · 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

$5K

Total Medicaid Paid

1,609

Total Claims

1,515

Beneficiaries

Codes Billed

2018-01

First Month

2024-08

Last Month

Provider Details

Authorized Official	CANONIC, KIMBERLY (SENIOR DIRECTOR, ENROLLMENT)
NPI Enumeration Date	07/16/2006

Other providers sharing the same authorized official: CANONIC, KIMBERLY

Provider	City	State	Total 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

Code	Description	Claims	Beneficiaries	Total Paid
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	188	169	$3K
90686		35	35	$564.90
0011A		198	198	$559.02
0072A		49	33	$320.00
0071A		57	52	$320.00
0064A		74	68	$240.00
91301		237	232	$0.36
91307		130	96	$0.25
0001A		65	65	$0.00
0012A		185	185	$0.00
G0008	Administration of influenza virus vaccine	107	102	$0.00
0031A		13	13	$0.00
0002A		52	52	$0.00
0003A		15	15	$0.00
0004A		60	60	$0.00
90662		15	15	$0.00
91300		129	125	$0.00