WAL-MART STORES EAST, LP
NPI: 1144305061
· BASTROP, LA 71220
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
27 |
$397.00 |
| 2020 |
169 |
$2K |
| 2021 |
349 |
$5K |
| 2022 |
639 |
$11K |
| 2023 |
680 |
$13K |
| 2024 |
14 |
$275.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,264 |
1,181 |
$20K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
517 |
482 |
$9K |
| V2100 |
Lens spher single plano 4.00 |
67 |
63 |
$1K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
30 |
26 |
$1K |