WAL-MART STORES EAST, LP
NPI: 1477737542
· LANCASTER, OH 43130
· 332H00000X
$446K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,530 |
$39K |
| 2019 |
2,442 |
$42K |
| 2020 |
1,333 |
$29K |
| 2021 |
3,120 |
$93K |
| 2022 |
4,293 |
$143K |
| 2023 |
4,100 |
$50K |
| 2024 |
2,861 |
$51K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
8,781 |
8,065 |
$232K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
5,251 |
4,771 |
$102K |
| V2100 |
Lens spher single plano 4.00 |
1,935 |
1,767 |
$36K |
| V2784 |
Lens polycarb or equal |
2,019 |
1,973 |
$30K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
749 |
726 |
$27K |
| V2750 |
Anti-reflective coating |
970 |
953 |
$6K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
291 |
245 |
$4K |
| V2025 |
Eyeglasses delux frames |
473 |
473 |
$4K |
| V2200 |
Lens spher bifoc plano 4.00d |
71 |
65 |
$3K |
| V2107 |
Spherocylinder 4.25d/12-2d |
87 |
80 |
$1K |
| V2520 |
Contact lens hydrophilic |
12 |
12 |
$1K |
| V2744 |
Tint photochromatic lens/es |
40 |
38 |
$43.70 |