Medicaid Provider Spending

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

WAL-MART STORES EAST LP

NPI: 1366786774 · NEWPORT NEWS, VA 23605 · Optician · NPI assigned 11/26/2012

$6K
Total Medicaid Paid
145
Total Claims
145
Beneficiaries
2
Codes Billed
2018-03
First Month
2023-09
Last Month

Provider Details

Authorized OfficialPOWERS, AMY (SPECIALIST, PLAN ENROLLMENT)
Parent OrganizationWAL-MART STORES INC
NPI Enumeration Date11/26/2012

Related Entities

Other providers sharing the same authorized official: POWERS, AMY

ProviderCityStateTotal Paid
WAL-MART STORES TEXAS, LLC SAN ANTONIO TX $109K
WAL-MART STORES INC BLOOMINGDALE IL $62K
WAL-MART STORES TEXAS LLC FORT WORTH TX $59K
WAL-MART STORES INC CHICAGO IL $19K
WAL-MART STORES TEXAS, LLC VICTORIA TX $3K
WAL-MART STORES TEXAS, LLC HELOTES TX $1K
WAL-MART STORES TEXAS LLC LUCAS TX $773.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 53 $3K
2019 25 $1K
2021 12 $167.00
2022 12 $189.00
2023 43 $445.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 38 38 $4K
V2020 Frames, purchases 107 107 $1K