WAL-MART STORES EAST, LP
NPI: 1194158956
· PUTNAM, CT 06260
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
746 |
$13K |
| 2019 |
498 |
$10K |
| 2020 |
480 |
$8K |
| 2021 |
1,264 |
$16K |
| 2022 |
382 |
$2K |
| 2023 |
236 |
$5K |
| 2024 |
372 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,755 |
2,349 |
$42K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,136 |
989 |
$18K |
| V2100 |
Lens spher single plano 4.00 |
75 |
65 |
$1K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
12 |
12 |
$449.10 |