WAL-MART STORES LOUISIANA, LLC
NPI: 1225111099
· KENNER, LA 70065
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
134 |
$2K |
| 2020 |
343 |
$5K |
| 2021 |
865 |
$17K |
| 2022 |
1,231 |
$30K |
| 2023 |
848 |
$19K |
| 2024 |
800 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,563 |
2,282 |
$62K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,496 |
1,328 |
$26K |
| V2100 |
Lens spher single plano 4.00 |
150 |
143 |
$2K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
12 |
12 |
$215.00 |