WAL-MART STORES EAST, LP
NPI: 1306944087
· HAMILTON, OH 45011
· 156FX1800X
$246K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,819 |
$48K |
| 2019 |
2,711 |
$47K |
| 2020 |
1,920 |
$49K |
| 2021 |
1,139 |
$32K |
| 2022 |
1,262 |
$49K |
| 2023 |
807 |
$10K |
| 2024 |
633 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
5,546 |
5,300 |
$134K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
2,881 |
2,752 |
$53K |
| V2100 |
Lens spher single plano 4.00 |
940 |
899 |
$15K |
| V2784 |
Lens polycarb or equal |
557 |
556 |
$12K |
| V2750 |
Anti-reflective coating |
751 |
747 |
$11K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
275 |
275 |
$10K |
| V2410 |
Lens variab asphericity sing |
92 |
92 |
$6K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
146 |
142 |
$3K |
| V2783 |
Lens, >= 1.66 p/>=1.80 g |
28 |
28 |
$2K |
| V2107 |
Spherocylinder 4.25d/12-2d |
49 |
49 |
$784.24 |
| V2744 |
Tint photochromatic lens/es |
26 |
26 |
$0.00 |