WAL-MART STORES EAST, LP
NPI: 1235242538
· NORTH OLMSTED, OH 44070
· 156FX1800X
$216K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,558 |
$27K |
| 2019 |
1,992 |
$32K |
| 2020 |
1,452 |
$34K |
| 2021 |
1,610 |
$45K |
| 2022 |
1,270 |
$43K |
| 2023 |
1,550 |
$17K |
| 2024 |
1,087 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
4,956 |
4,438 |
$125K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
2,760 |
2,412 |
$49K |
| V2750 |
Anti-reflective coating |
1,276 |
1,208 |
$12K |
| V2100 |
Lens spher single plano 4.00 |
731 |
680 |
$11K |
| V2784 |
Lens polycarb or equal |
511 |
499 |
$10K |
| V2783 |
Lens, >= 1.66 p/>=1.80 g |
39 |
39 |
$3K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
68 |
64 |
$2K |
| V2410 |
Lens variab asphericity sing |
25 |
25 |
$2K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
59 |
53 |
$1K |
| V2755 |
Uv lens/es |
94 |
91 |
$744.00 |