Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › SUNRISE › WAL-MART STORES EAST, LP

WAL-MART STORES EAST, LP

NPI: 1023477320 · SUNRISE, FL 33351 · Optician · NPI assigned 02/15/2016

$10K
Total Medicaid Paid
809
Total Claims
566
Beneficiaries
3
Codes Billed
2019-08
First Month
2024-07
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (DIR HEALTHCARE CONTRACT & ENROLL)
Parent OrganizationWAL-MART STORES, INC.
NPI Enumeration Date02/15/2016

Related Entities

Other providers sharing the same authorized official: LEVINE, LAURA

ProviderCityStateTotal Paid
SAMS WEST INC DENVER CO $9K
SAMS WEST INC HONOLULU HI $6K
SAMS WEST INC AURORA CO $1K
SAMS EAST INC WINSTON SALEM NC $715.00
SAMS WEST INC RENO NV $0.00
SAMS EAST INC METAIRIE LA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 96 $1K
2021 165 $1K
2022 192 $3K
2023 265 $3K
2024 91 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 614 428 $8K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 164 110 $2K
V2750 Anti-reflective coating, per lens 31 28 $0.00