Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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CEDAR RAPIDS
› WAL-MART STORES, INC.
WAL-MART STORES, INC.
NPI: 1154402204 · CEDAR RAPIDS, IA 52404 ·
156FX1800X
$111K
Total Medicaid Paid
5,215
Total Claims
5,134
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
1,144
$24K
2019
874
$19K
2020
579
$12K
2021
632
$14K
2022
704
$15K
2023
719
$15K
2024
563
$12K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
V2020
Vision svcs frames purchases
3,052
2,999
$68K
V2103
Spherocylindr 4.00d/12-2.00d
1,768
1,746
$35K
V2100
Lens spher single plano 4.00
367
361
$7K
V2203
Lens sphcyl bifocal 4.00d/.1
14
14
$540.00
V2781
Progressive lens per lens
14
14
$362.50