Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1184707309 · GREEN BAY, WI 54311 · Optician · NPI assigned 10/23/2006

$120K
Total Medicaid Paid
5,860
Total Claims
5,334
Beneficiaries
6
Codes Billed
2018-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialEPPERSON, LINDA (NPI COORDINATOR)
NPI Enumeration Date10/23/2006

Related Entities

Other providers sharing the same authorized official: EPPERSON, LINDA

ProviderCityStateTotal Paid
WAL-MART STORES EAST, LP COLUMBUS OH $361K
WAL-MART STOREES EAST, LP WADSWORTH OH $339K
WAL-MART STORES EAST, LP LEWIS CENTER OH $276K
WAL-MART STORES EAST, LP OAKLAND MD $161K
WAL-MART STORES EAST, LP SALEM OH $107K
WAL-MART STORES EAST, LP LIMA OH $8K
WAL-MART STORES EAST, LP BUCKHANNON WV $7K
WAL-MART STORES EAST, LP PRINCETON WV $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 30 $474.00
2019 77 $1K
2021 820 $16K
2022 1,498 $31K
2023 1,866 $39K
2024 1,569 $31K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 3,120 2,834 $51K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1,504 1,327 $42K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 907 854 $24K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 44 42 $2K
V2025 Deluxe frame 16 15 $267.00
V2750 Anti-reflective coating, per lens 269 262 $0.00