WAL-MART STORES EAST, LP
NPI: 1144308388
· BROOKHAVEN, MS 39601
· 156FX1800X
$100K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
745 |
$12K |
| 2019 |
892 |
$14K |
| 2020 |
524 |
$9K |
| 2021 |
827 |
$17K |
| 2022 |
1,195 |
$23K |
| 2023 |
867 |
$16K |
| 2024 |
522 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
3,024 |
2,829 |
$50K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,482 |
1,377 |
$27K |
| V2100 |
Lens spher single plano 4.00 |
1,005 |
971 |
$22K |
| V2781 |
Progressive lens per lens |
61 |
57 |
$0.00 |