Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NE › OMAHA › WAL-MART STORES, INC.

WAL-MART STORES, INC.

NPI: 1386727089 · OMAHA, NE 68116 · Optician · NPI assigned 10/24/2006

$43K
Total Medicaid Paid
2,167
Total Claims
2,132
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (DIRECTOR)
NPI Enumeration Date10/24/2006

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 654 $14K
2019 579 $12K
2020 208 $4K
2021 268 $5K
2022 253 $5K
2023 116 $2K
2024 89 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 1,396 1,373 $26K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 537 528 $12K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 234 231 $5K