WAL-MART STORES LOUISIANA, LLC
NPI: 1275611634
· HARVEY, LA 70058
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
18 |
$152.00 |
| 2021 |
168 |
$3K |
| 2022 |
509 |
$11K |
| 2023 |
663 |
$13K |
| 2024 |
459 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,238 |
1,085 |
$29K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
342 |
278 |
$6K |
| V2100 |
Lens spher single plano 4.00 |
166 |
161 |
$4K |
| V2784 |
Lens polycarb or equal |
71 |
52 |
$478.00 |