Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1275615924 · ERIE, PA 16506 · Optician · NPI assigned 10/20/2006

$38K
Total Medicaid Paid
1,408
Total Claims
1,132
Beneficiaries
5
Codes Billed
2020-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (DIR GOVT CONTRACTING)
NPI Enumeration Date10/20/2006

Related Entities

Other providers sharing the same authorized official: LEVINE, LAURA

ProviderCityStateTotal Paid
SAMS WEST INC DENVER CO $9K
SAMS WEST INC HONOLULU HI $6K
SAMS WEST INC AURORA CO $1K
SAMS EAST INC WINSTON SALEM NC $715.00
SAMS WEST INC RENO NV $0.00
SAMS EAST INC METAIRIE LA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 141 $3K
2021 718 $18K
2022 258 $6K
2023 15 $456.76
2024 276 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 692 553 $15K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 420 304 $12K
V2025 Deluxe frame 144 144 $8K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 34 30 $2K
V2750 Anti-reflective coating, per lens 118 101 $631.00