WAL-MART STORES EAST, LP
NPI: 1093829996
· WATERTOWN, NY 13601
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
467 |
$8K |
| 2022 |
1,091 |
$19K |
| 2023 |
885 |
$16K |
| 2024 |
613 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,519 |
1,517 |
$25K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
782 |
782 |
$19K |
| V2784 |
Lens polycarb or equal |
582 |
581 |
$7K |
| V2100 |
Lens spher single plano 4.00 |
173 |
173 |
$4K |