Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MS › BYRAM › WAL-MART STORES EAST LP

WAL-MART STORES EAST LP

NPI: 1356706683 · BYRAM, MS 39272 · Optician · NPI assigned 12/31/2015

$60K
Total Medicaid Paid
4,528
Total Claims
4,008
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (DIRECTOR)
Parent OrganizationWAL-MART STORES, INC
NPI Enumeration Date12/31/2015

Related Entities

Other providers sharing the same authorized official: LEVINE, LAURA

ProviderCityStateTotal Paid
SAMS WEST INC DENVER CO $9K
SAMS WEST INC HONOLULU HI $6K
SAMS WEST INC AURORA CO $1K
SAMS EAST INC WINSTON SALEM NC $715.00
SAMS WEST INC RENO NV $0.00
SAMS EAST INC METAIRIE LA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 350 $1K
2019 736 $4K
2020 392 $6K
2021 830 $11K
2022 1,066 $19K
2023 670 $10K
2024 484 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 2,613 2,305 $30K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 788 735 $16K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1,098 941 $14K
V2781 Progressive lens, per lens 29 27 $0.00