WAL-MART STORES EAST, LP
NPI: 1508947409
· WARRENSBURG, MO 64093
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
561 |
$6K |
| 2019 |
655 |
$8K |
| 2020 |
274 |
$3K |
| 2021 |
483 |
$5K |
| 2022 |
762 |
$13K |
| 2023 |
878 |
$21K |
| 2024 |
796 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,189 |
2,184 |
$47K |
| V2100 |
Lens spher single plano 4.00 |
1,086 |
1,086 |
$9K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,018 |
1,013 |
$7K |
| V2781 |
Progressive lens per lens |
26 |
26 |
$101.50 |
| V2025 |
Eyeglasses delux frames |
90 |
90 |
$0.00 |