WAL-MART STORES EAST, LP
NPI: 1366546988
· WASHINGTON COURT HOUSE, OH 43160
· 156FX1800X
$102K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
870 |
$15K |
| 2019 |
714 |
$13K |
| 2020 |
671 |
$14K |
| 2021 |
788 |
$19K |
| 2022 |
1,206 |
$38K |
| 2023 |
443 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,834 |
1,823 |
$35K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,115 |
1,115 |
$28K |
| 92012 |
|
350 |
350 |
$18K |
| V2100 |
Lens spher single plano 4.00 |
358 |
352 |
$7K |
| V2784 |
Lens polycarb or equal |
519 |
515 |
$6K |
| 92002 |
|
81 |
81 |
$4K |
| V2025 |
Eyeglasses delux frames |
410 |
410 |
$4K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
25 |
25 |
$1K |