Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1063812543 · EAST BRUNSWICK, NJ 08816 · Optician · NPI assigned 09/03/2014

$21K
Total Medicaid Paid
2,046
Total Claims
1,985
Beneficiaries
6
Codes Billed
2021-04
First Month
2024-06
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (DIR HEALTHCARE CONTRACTING & ENROLL)
Parent OrganizationWAL-MART STORES, INC.
NPI Enumeration Date09/03/2014

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
2021 284 $3K
2022 698 $8K
2023 779 $7K
2024 285 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 862 854 $9K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 286 278 $7K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 266 245 $5K
V2784 Lens, polycarbonate or equal, any index, per lens 27 27 $47.12
V2750 Anti-reflective coating, per lens 515 494 $0.00
V2025 Deluxe frame 90 87 $0.00