WAL-MART STORES EAST, LP
NPI: 1508947995
· CHAMBERSBURG, PA 17201
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
16 |
$338.88 |
| 2021 |
480 |
$12K |
| 2022 |
789 |
$22K |
| 2023 |
589 |
$17K |
| 2024 |
223 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,077 |
924 |
$28K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
604 |
354 |
$17K |
| 92004 |
|
278 |
278 |
$11K |
| 92002 |
|
36 |
36 |
$1K |
| 92015 |
|
42 |
42 |
$70.00 |
| V2784 |
Lens polycarb or equal |
60 |
34 |
$0.00 |