Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1093863573 · NORFOLK, VA 23505 · Optician · NPI assigned 01/08/2007

$26K
Total Medicaid Paid
454
Total Claims
450
Beneficiaries
3
Codes Billed
2018-01
First Month
2019-07
Last Month

Provider Details

Authorized OfficialCRAINSHAW, G (PROVIDER ENROLLMENT SPECIALIST)
NPI Enumeration Date01/08/2007

Related Entities

Other providers sharing the same authorized official: CRAINSHAW, G

ProviderCityStateTotal Paid
WAL-MART STORES EAST, LP COMMACK NY $13K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 236 $15K
2019 218 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 211 209 $20K
V2020 Frames, purchases 231 229 $5K
V2750 Anti-reflective coating, per lens 12 12 $0.00