Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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BELLEVILLE
› WAL-MART STORES, INC
WAL-MART STORES, INC
NPI: 1073694899 · BELLEVILLE, IL 62221 ·
156FX1800X
$23K
Total Medicaid Paid
1,514
Total Claims
1,504
Beneficiaries
3
Codes Billed
2021-07
First Month
2024-11
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
135
$2K
2022
375
$5K
2023
497
$7K
2024
507
$9K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
V2020
Vision svcs frames purchases
1,047
1,039
$15K
V2100
Lens spher single plano 4.00
332
330
$5K
V2103
Spherocylindr 4.00d/12-2.00d
135
135
$3K