WAL-MART STORES EAST, LP
NPI: 1285717306
· ATHENS, TN 37303
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
207 |
$3K |
| 2019 |
176 |
$3K |
| 2020 |
111 |
$2K |
| 2021 |
195 |
$2K |
| 2022 |
301 |
$3K |
| 2023 |
277 |
$2K |
| 2024 |
173 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,114 |
1,062 |
$12K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
227 |
223 |
$4K |
| V2100 |
Lens spher single plano 4.00 |
12 |
12 |
$181.40 |
| V2750 |
Anti-reflective coating |
68 |
63 |
$120.00 |
| V2784 |
Lens polycarb or equal |
19 |
13 |
$62.00 |