Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1063897510 · HAZLEHURST, MS 39083 · Optician · NPI assigned 07/27/2015

$58K
Total Medicaid Paid
3,697
Total Claims
3,388
Beneficiaries
4
Codes Billed
2018-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (DIR HEALTHCARE ENROLLMENT AND CONTR)
Parent OrganizationWAL-MART STORES, INC.
NPI Enumeration Date07/27/2015

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
2018 202 $3K
2019 456 $7K
2020 281 $4K
2021 501 $9K
2022 1,070 $16K
2023 690 $11K
2024 497 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 2,196 2,017 $28K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 899 786 $16K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 590 573 $14K
V2755 U-v lens, per lens 12 12 $0.00