WAL-MART STORES EAST, LP
NPI: 1205916798
· MAYFIELD HEIGHTS, OH 44124
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
430 |
$7K |
| 2019 |
357 |
$5K |
| 2020 |
511 |
$12K |
| 2021 |
457 |
$17K |
| 2022 |
427 |
$28K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,347 |
1,265 |
$51K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
670 |
622 |
$13K |
| V2100 |
Lens spher single plano 4.00 |
77 |
70 |
$1K |
| V2750 |
Anti-reflective coating |
57 |
57 |
$1K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
12 |
12 |
$519.00 |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
19 |
12 |
$445.00 |