Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1205381464 · HAMILTON, NJ 08619 · Optician · NPI assigned 08/17/2016

$3K
Total Medicaid Paid
575
Total Claims
572
Beneficiaries
4
Codes Billed
2018-10
First Month
2024-05
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (DIRECTOR HEALTHCARE CONTRACTING)
Parent OrganizationWAL-MART STORES, INC.
NPI Enumeration Date08/17/2016

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 14 $0.00
2019 26 $0.00
2020 12 $0.00
2021 65 $533.00
2022 134 $765.00
2023 181 $845.00
2024 143 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 510 507 $3K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 40 40 $608.00
V2025 Deluxe frame 13 13 $0.00
V2750 Anti-reflective coating, per lens 12 12 $0.00