Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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DAVENPORT
› WAL-MART STORES, INC.
WAL-MART STORES, INC.
NPI: 1306927405 · DAVENPORT, IA 52807 ·
156FX1800X
$117K
Total Medicaid Paid
5,425
Total Claims
5,321
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-08
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
880
$18K
2019
646
$15K
2020
487
$11K
2021
831
$18K
2022
1,228
$26K
2023
1,056
$23K
2024
297
$7K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
V2020
Vision svcs frames purchases
3,238
3,178
$73K
V2103
Spherocylindr 4.00d/12-2.00d
1,678
1,641
$33K
V2100
Lens spher single plano 4.00
448
442
$9K
V2203
Lens sphcyl bifocal 4.00d/.1
61
60
$2K