WAL-MART STORES EAST, LP
NPI: 1053494856
· TUPELO, MS 38804
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
296 |
$4K |
| 2019 |
630 |
$11K |
| 2020 |
479 |
$10K |
| 2021 |
655 |
$15K |
| 2022 |
1,023 |
$16K |
| 2023 |
561 |
$7K |
| 2024 |
283 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,431 |
2,093 |
$41K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
937 |
811 |
$16K |
| V2100 |
Lens spher single plano 4.00 |
545 |
465 |
$10K |
| V2781 |
Progressive lens per lens |
14 |
14 |
$0.00 |