Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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MCCOOK
› WAL-MART STORES, INC.
WAL-MART STORES, INC.
NPI: 1093895708 · MCCOOK, NE 69001 ·
156FX1800X
$19K
Total Medicaid Paid
912
Total Claims
890
Beneficiaries
3
Codes Billed
2018-08
First Month
2024-01
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
31
$910.00
2019
172
$4K
2020
61
$1K
2021
136
$3K
2022
301
$6K
2023
199
$4K
2024
12
$91.00
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
V2020
Vision svcs frames purchases
708
690
$15K
V2103
Spherocylindr 4.00d/12-2.00d
184
180
$4K
V2100
Lens spher single plano 4.00
20
20
$500.00