Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › DAVENPORT › WAL-MART STORES, INC.

WAL-MART STORES, INC.

NPI: 1306927405 · DAVENPORT, IA 52807 · Optician · NPI assigned 10/17/2006

$117K
Total Medicaid Paid
5,425
Total Claims
5,321
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialEPPERSON, LINDA (NPI COORDINATOR)
NPI Enumeration Date10/17/2006

Related Entities

Other providers sharing the same authorized official: EPPERSON, LINDA

ProviderCityStateTotal Paid
WAL-MART STORES EAST, LP COLUMBUS OH $361K
WAL-MART STOREES EAST, LP WADSWORTH OH $339K
WAL-MART STORES EAST, LP LEWIS CENTER OH $276K
WAL-MART STORES EAST, LP OAKLAND MD $161K
WAL-MART STORES EAST, LP SALEM OH $107K
WAL-MART STORES EAST, LP LIMA OH $8K
WAL-MART STORES EAST, LP BUCKHANNON WV $7K
WAL-MART STORES EAST, LP PRINCETON WV $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 3,238 3,178 $73K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1,678 1,641 $33K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 448 442 $9K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 61 60 $2K