Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1184047169 · PONCHATOULA, LA 70454 · Optician · NPI assigned 01/28/2014

$32K
Total Medicaid Paid
1,380
Total Claims
1,279
Beneficiaries
4
Codes Billed
2021-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (DIRECTOR OF GOVERMENT CONTRACTING)
Parent OrganizationWAL-MART STORES INC
NPI Enumeration Date01/28/2014

Related Entities

Other providers sharing the same authorized official: LEVINE, LAURA

ProviderCityStateTotal Paid
SAMS WEST INC DENVER CO $9K
SAMS WEST INC HONOLULU HI $6K
SAMS WEST INC AURORA CO $1K
SAMS EAST INC WINSTON SALEM NC $715.00
SAMS WEST INC RENO NV $0.00
SAMS EAST INC METAIRIE LA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 62 $1K
2022 381 $8K
2023 522 $13K
2024 415 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 976 909 $26K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 270 240 $5K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 41 39 $866.50
V2784 Lens, polycarbonate or equal, any index, per lens 93 91 $474.56