WAL-MART STORES EAST LP
NPI: 1124382114
· CHALMETTE, LA 70043
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
38 |
$398.00 |
| 2020 |
12 |
$200.00 |
| 2021 |
23 |
$468.00 |
| 2022 |
740 |
$16K |
| 2023 |
634 |
$16K |
| 2024 |
674 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,482 |
1,416 |
$37K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
627 |
610 |
$13K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
12 |
12 |
$339.50 |