Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1093804908 · COLUMBIA, SC 29206 · Optician · NPI assigned 10/11/2006

$9K
Total Medicaid Paid
418
Total Claims
418
Beneficiaries
3
Codes Billed
2023-03
First Month
2024-09
Last Month

Provider Details

Authorized OfficialEPPERSON, LINDA (NPI COORDINATOR)
NPI Enumeration Date10/11/2006

Related Entities

Other providers sharing the same authorized official: EPPERSON, LINDA

ProviderCityStateTotal Paid
WAL-MART STORES EAST, LP COLUMBUS OH $361K
WAL-MART STOREES EAST, LP WADSWORTH OH $339K
WAL-MART STORES EAST, LP LEWIS CENTER OH $276K
WAL-MART STORES EAST, LP OAKLAND MD $161K
WAL-MART STORES EAST, LP SALEM OH $107K
WAL-MART STORES EAST, LP LIMA OH $8K
WAL-MART STORES EAST, LP BUCKHANNON WV $7K
WAL-MART STORES EAST, LP PRINCETON WV $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 85 $2K
2024 333 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 183 183 $5K
V2020 Frames, purchases 219 219 $3K
V2784 Lens, polycarbonate or equal, any index, per lens 16 16 $523.00