Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1497837926 · GALLUP, NM 87301 · Optician · NPI assigned 10/20/2006

$10K
Total Medicaid Paid
475
Total Claims
474
Beneficiaries
2
Codes Billed
2019-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialEPPERSON, LINDA (NPI COORDINATOR)
NPI Enumeration Date10/20/2006

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
2019 15 $238.00
2020 33 $535.50
2021 168 $3K
2022 78 $1K
2023 121 $3K
2024 60 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 446 445 $9K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 29 29 $627.50