Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WAL-MART STORES LOUISIANA, LLC

NPI: 1356425433 · SLIDELL, LA 70461 · 156FX1800X

$26K
Total Medicaid Paid
1,052
Total Claims
965
Beneficiaries
4
Codes Billed
2021-10
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 61 $1K
2022 342 $9K
2023 398 $10K
2024 251 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Vision svcs frames purchases 775 709 $21K
V2103 Spherocylindr 4.00d/12-2.00d 238 219 $5K
V2100 Lens spher single plano 4.00 27 25 $478.00
V2203 Lens sphcyl bifocal 4.00d/.1 12 12 $298.00