WAL-MART STORES EAST, LP
NPI: 1437232600
· MCCOMB, MS 39648
· 156FX1800X
$120K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
607 |
$2K |
| 2019 |
1,316 |
$13K |
| 2020 |
1,637 |
$20K |
| 2021 |
1,630 |
$28K |
| 2022 |
1,401 |
$25K |
| 2023 |
1,045 |
$19K |
| 2024 |
698 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
4,444 |
3,711 |
$62K |
| V2100 |
Lens spher single plano 4.00 |
1,539 |
1,349 |
$28K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
2,052 |
1,594 |
$26K |
| V2750 |
Anti-reflective coating |
201 |
197 |
$2K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
26 |
26 |
$1K |
| V2799 |
Misc vision item or service |
18 |
17 |
$60.00 |
| V2781 |
Progressive lens per lens |
54 |
54 |
$0.00 |