Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1093897332 · HOUGHTON LAKE, MI 48629 · Optician · NPI assigned 10/19/2006

$12K
Total Medicaid Paid
740
Total Claims
740
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialEPPERSON, LINDA (NPI COORDINATOR)
NPI Enumeration Date10/19/2006

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
2018 227 $4K
2021 113 $2K
2022 137 $3K
2023 130 $2K
2024 133 $656.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 625 625 $10K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 60 60 $2K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 42 42 $648.32
V2784 Lens, polycarbonate or equal, any index, per lens 13 13 $155.04