Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1114009016 · COAL TOWNSHIP, PA 17866 · Optician · NPI assigned 10/19/2006

$5K
Total Medicaid Paid
157
Total Claims
141
Beneficiaries
3
Codes Billed
2018-05
First Month
2022-03
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (DIR GOVT CONTRACTING)
NPI Enumeration Date10/19/2006

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
2018 93 $3K
2021 15 $412.00
2022 49 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 83 77 $3K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 56 46 $1K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 18 18 $391.50