Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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WAVERLY
› WAL-MART STORES, INC.
WAL-MART STORES, INC.
NPI: 1295816452 · WAVERLY, IA 50677 ·
156FX1800X
$12K
Total Medicaid Paid
450
Total Claims
444
Beneficiaries
3
Codes Billed
2018-01
First Month
2023-05
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
179
$4K
2019
103
$3K
2020
71
$2K
2021
28
$845.60
2022
56
$2K
2023
13
$364.45
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
V2020
Vision svcs frames purchases
368
362
$10K
V2103
Spherocylindr 4.00d/12-2.00d
70
70
$1K
V2100
Lens spher single plano 4.00
12
12
$252.00