Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1205917002 · CAMDENTON, MO 65020 · Optician · NPI assigned 10/18/2006

$18K
Total Medicaid Paid
808
Total Claims
802
Beneficiaries
5
Codes Billed
2018-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialGENTILE, NICOLE (NPI COORDINATOR)
NPI Enumeration Date10/18/2006

Related Entities

Other providers sharing the same authorized official: GENTILE, NICOLE

ProviderCityStateTotal Paid
WAL-MART STORES TEXAS, LP LAKE JACKSON TX $632K
WAL-MART STORES TEXAS, LP BAYTOWN TX $595K
WAL-MART STORES TEXAS, LP PASADENA TX $497K
WAL-MART STORES TEXAS, LP ALVIN TX $483K
WAL-MART STORES EAST, LP CINCINNATI OH $464K
WAL-MART STORES TEXAS, LP BRYAN TX $440K
WAL-MART STORES TEXAS, LP SAN ANTONIO TX $437K
WAL-MART STORES TEXAS, LP HOUSTON TX $418K
WAL-MART STORES EAST, LP MADISON OH $403K
WAL-MART STORES TEXAS, LP EDINBURG TX $374K
WAL-MART STORES TEXAS, LP CLEVELAND TX $363K
WAL-MART STORES TEXAS, LP LIVINGSTON TX $318K
WAL-MART STORES EAST, LP LOGAN OH $303K
WAL-MART STORES TEXAS, LP HARLINGEN TX $301K
WAL-MART STORES TEXAS, LP HOUSTON TX $300K
WAL-MART STORES TEXAS, LP SPRING TX $286K
WAL-MART STORES EAST, LP ATHENS OH $276K
WAL-MART STORES EAST, LP NEWARK OH $260K
WAL-MART STORES EAST, LP HAMILTON OH $246K
WAL-MART STORES TEXAS, LP ROUND ROCK TX $240K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26 $256.00
2019 53 $654.10
2021 56 $1K
2022 165 $4K
2023 363 $11K
2024 145 $794.01

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 651 648 $16K
V2781 Progressive lens, per lens 40 40 $1K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 71 71 $665.00
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 34 31 $142.50
V2784 Lens, polycarbonate or equal, any index, per lens 12 12 $50.00