Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › FARMINGDALE › WAL-MART STORES EAST, L.P.

WAL-MART STORES EAST, L.P.

NPI: 1013048529 · FARMINGDALE, NY 11735 · Eyewear Supplier · NPI assigned 03/08/2007

$445.00
Total Medicaid Paid
25
Total Claims
25
Beneficiaries
1
Codes Billed
2021-09
First Month
2021-10
Last Month

Provider Details

Authorized OfficialGUNDBERG, CORY (SVP HEALTH & WELLNESS)
NPI Enumeration Date03/08/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 25 $445.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 25 25 $445.00