Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1194158956 · PUTNAM, CT 06260 · Optician · NPI assigned 08/15/2013

$62K
Total Medicaid Paid
3,978
Total Claims
3,415
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (MANAGER OF GOVERNMENT CONTRACTING)
Parent OrganizationWAL-MART STORES INC
NPI Enumeration Date08/15/2013

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
2018 746 $13K
2019 498 $10K
2020 480 $8K
2021 1,264 $16K
2022 382 $2K
2023 236 $5K
2024 372 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 2,755 2,349 $42K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1,136 989 $18K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 75 65 $1K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 12 12 $449.10