Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1437234374 · PONTOTOC, MS 38863 · Optician · NPI assigned 10/26/2006

$386K
Total Medicaid Paid
23,994
Total Claims
23,057
Beneficiaries
6
Codes Billed
2018-01
First Month
2021-10
Last Month

Provider Details

Authorized OfficialEPPERSON, LINDA (NPI COORDINATOR)
NPI Enumeration Date10/26/2006

Related Entities

Other providers sharing the same authorized official: EPPERSON, LINDA

ProviderCityStateTotal Paid
WAL-MART STORES EAST, LP COLUMBUS OH $361K
WAL-MART STOREES EAST, LP WADSWORTH OH $339K
WAL-MART STORES EAST, LP LEWIS CENTER OH $276K
WAL-MART STORES EAST, LP OAKLAND MD $161K
WAL-MART STORES EAST, LP SALEM OH $107K
WAL-MART STORES EAST, LP LIMA OH $8K
WAL-MART STORES EAST, LP BUCKHANNON WV $7K
WAL-MART STORES EAST, LP PRINCETON WV $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,912 $129K
2019 7,567 $127K
2020 4,410 $76K
2021 3,105 $54K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 14,499 13,988 $193K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 8,325 7,972 $173K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 948 894 $17K
V2781 Progressive lens, per lens 145 145 $2K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 12 12 $203.00
V2025 Deluxe frame 65 46 $0.00