Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1023489655 · NORTH HUNTINGDON, PA 15642 · Optician · NPI assigned 10/08/2015

$162K
Total Medicaid Paid
4,461
Total Claims
3,882
Beneficiaries
6
Codes Billed
2020-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (DIRECTOR OF CONTRACT & ENROLL)
Parent OrganizationWAL-MART STORES, INC.
NPI Enumeration Date10/08/2015

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
2020 323 $11K
2021 1,471 $46K
2022 1,225 $49K
2023 814 $33K
2024 628 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2025 Deluxe frame 1,750 1,533 $110K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1,206 1,057 $28K
V2020 Frames, purchases 672 566 $11K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 207 179 $6K
V2750 Anti-reflective coating, per lens 561 498 $5K
V2784 Lens, polycarbonate or equal, any index, per lens 65 49 $1K