Medicaid Provider Spending

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

WAL-MART STORES EAST, LP.

NPI: 1134996341 · WHITEHALL, PA 18052 · Eyewear Supplier · NPI assigned 12/07/2023

$16K
Total Medicaid Paid
586
Total Claims
507
Beneficiaries
4
Codes Billed
2024-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGARVEY, MICHELE (DIRECTOR OF HEALTH CARE CONTRACTING)
NPI Enumeration Date12/07/2023

Related Entities

Other providers sharing the same authorized official: GARVEY, MICHELE

ProviderCityStateTotal Paid
WALMART INC. HOMEWOOD IL $28K
WAL-MART STORES EAST, LP. HARRISBURG PA $18K
WALMART INC. NORTH LAS VEGAS NV $15K
WALMART INC. RAPID CITY SD $8K
WAL-MART STORES EAST, LP. LAS CRUCES NM $4K
WAL-MART STORES TEXAS, LLC FORT WORTH TX $2K
WAL-MART STORES EAST, LP. ALBUQUERQUE NM $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 586 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 251 233 $10K
V2020 Frames, purchases 162 125 $3K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 51 27 $2K
92015 Determination of refractive state 122 122 $0.00