Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1184098733 · HORN LAKE, MS 38637 · Optician · NPI assigned 11/19/2015

$13K
Total Medicaid Paid
822
Total Claims
763
Beneficiaries
3
Codes Billed
2019-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (DIR HEALTHCARE CONTRACT & ENROLLMNE)
Parent OrganizationWAL-MART STORES, INC.
NPI Enumeration Date11/19/2015

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
2019 84 $2K
2020 111 $2K
2021 131 $3K
2022 233 $3K
2023 204 $2K
2024 59 $731.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 690 640 $10K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 85 80 $2K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 47 43 $752.75