Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WAL-MART STORES EAST, LP

NPI: 1003998931 · WOODHAVEN, MI 48183 · Optician · NPI assigned 10/19/2006

$6K

Total Medicaid Paid

319

Total Claims

319

Beneficiaries

Codes Billed

2018-01

First Month

2018-06

Last Month

Authorized Official	EPPERSON, LINDA (NPI COORDINATOR)
NPI Enumeration Date	10/19/2006

Other providers sharing the same authorized official: EPPERSON, LINDA

Provider	City	State	Total Paid
WAL-MART STORES EAST, LP	COLUMBUS	OH	$361K
WAL-MART STOREES EAST, LP	WADSWORTH	OH	$339K
WAL-MART STORES EAST, LP	LEWIS CENTER	OH	$276K
WAL-MART STORES EAST, LP	OAKLAND	MD	$161K
WAL-MART STORES EAST, LP	SALEM	OH	$107K
WAL-MART STORES EAST, LP	LIMA	OH	$8K
WAL-MART STORES EAST, LP	BUCKHANNON	WV	$7K
WAL-MART STORES EAST, LP	PRINCETON	WV	$1K

Year	Claims	Total Paid
2018	319	$6K

Code	Description	Claims	Beneficiaries	Total Paid
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	114	114	$3K
V2020	Frames, purchases	168	168	$3K
V2784	Lens, polycarbonate or equal, any index, per lens	37	37	$394.82