WAL-MART STORES EAST, LP
NPI: 1184703134
· GULFPORT, MS 39503
· Optician
· NPI assigned 11/02/2006
$117K
Total Medicaid Paid
Provider Details
| Authorized Official | EPPERSON, LINDA (NPI COORDINATOR) |
| NPI Enumeration Date | 11/02/2006 |
Related Entities
Other providers sharing the same authorized official: EPPERSON, LINDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
230 |
$5K |
| 2020 |
530 |
$12K |
| 2021 |
935 |
$24K |
| 2022 |
1,608 |
$31K |
| 2023 |
1,300 |
$25K |
| 2024 |
1,139 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
3,170 |
2,912 |
$64K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,139 |
1,070 |
$27K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,366 |
1,236 |
$26K |
| V2750 |
Anti-reflective coating, per lens |
50 |
50 |
$428.40 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
17 |
12 |
$220.00 |