Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IL › KANKAKEE › WAL-MART STORES, INC

WAL-MART STORES, INC

NPI: 1104294065 · KANKAKEE, IL 60901 · Optician · NPI assigned 09/09/2015

$10K
Total Medicaid Paid
333
Total Claims
333
Beneficiaries
2
Codes Billed
2023-03
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (DIRECTOR)
Parent OrganizationWAL-MART STORES, INC
NPI Enumeration Date09/09/2015

Related Entities

Other providers sharing the same authorized official: LEVINE, LAURA

ProviderCityStateTotal Paid
SAMS WEST INC DENVER CO $9K
SAMS WEST INC HONOLULU HI $6K
SAMS WEST INC AURORA CO $1K
SAMS EAST INC WINSTON SALEM NC $715.00
SAMS WEST INC RENO NV $0.00
SAMS EAST INC METAIRIE LA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 143 $5K
2024 190 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 253 253 $8K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 80 80 $2K