WAL-MART STORES EAST, LP
NPI: 1225119001
· FESTUS, MO 63028
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
168 |
$2K |
| 2019 |
292 |
$3K |
| 2020 |
131 |
$409.50 |
| 2021 |
416 |
$7K |
| 2022 |
729 |
$20K |
| 2023 |
406 |
$14K |
| 2024 |
384 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,181 |
1,180 |
$23K |
| 92002 |
|
144 |
144 |
$8K |
| 92004 |
|
119 |
119 |
$6K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
506 |
505 |
$3K |
| V2100 |
Lens spher single plano 4.00 |
373 |
372 |
$3K |
| 92014 |
|
48 |
48 |
$3K |
| 92012 |
|
31 |
31 |
$2K |
| V2025 |
Eyeglasses delux frames |
124 |
124 |
$0.00 |