Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1386065720 · WARREN, MI 48093 · Optician · NPI assigned 01/03/2014

$17K
Total Medicaid Paid
1,099
Total Claims
1,096
Beneficiaries
3
Codes Billed
2020-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLAUVER, DEB (SPECIALIST PLAN ENROLLMENT)
Parent OrganizationWAL-MART STORES, INC
NPI Enumeration Date01/03/2014

Related Entities

Other providers sharing the same authorized official: LAUVER, DEB

ProviderCityStateTotal Paid
WAL-MART STORES, INC OMAHA NE $235K
WAL-MART STORES, INC. SIOUX CENTER IA $172K
WAL-MART STORES EAST, LP STOUGHTON WI $116K
WAL-MART STORES EAST LP NEW BERLIN WI $111K
WAL-MART STORES EAST, LP WHITEWATER WI $92K
WAL-MART STORES EAST, LP LIMA OH $11K
WAL-MART STORES EAST, LP HARTFORD WI $476.00
WAL-MART STORES, INC COUNCIL BLUFFS IA $259.25
WALMART INC. LAS VEGAS NV $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 24 $605.80
2021 68 $1K
2022 448 $8K
2023 272 $4K
2024 287 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 876 874 $13K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 211 210 $4K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 12 12 $189.28