WAL-MART STORES, INC.
NPI: 1124109194
· SIOUX FALLS, SD 57110
· Optician
· NPI assigned 10/18/2006
$110K
Total Medicaid Paid
Provider Details
| Authorized Official | EPPERSON, LINDA (NPI COORDINATOR) |
| NPI Enumeration Date | 10/18/2006 |
Related Entities
Other providers sharing the same authorized official: EPPERSON, LINDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
289 |
$10K |
| 2019 |
323 |
$0.00 |
| 2020 |
186 |
$7K |
| 2021 |
777 |
$27K |
| 2022 |
918 |
$31K |
| 2023 |
719 |
$22K |
| 2024 |
426 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
2,022 |
1,947 |
$75K |
| V2199 |
Not otherwise classified, single vision lens |
1,509 |
1,451 |
$34K |
| V2299 |
Specialty bifocal (by report) |
25 |
25 |
$676.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
70 |
68 |
$0.00 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
12 |
12 |
$0.00 |