Medicaid Provider Spending

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

WALMART #1854

NPI: 1023144474 · HATILLO, PR 00659 · 332H00000X

$999.90

Total Medicaid Paid

26

Total Claims

13

Beneficiaries

1

Codes Billed

2023-10

First Month

2023-10

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2023	26	$999.90

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
V2103	Spherocylindr 4.00d/12-2.00d	26	13	$999.90