Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1528141454 · DIBERVILLE, MS 39540 · Optician · NPI assigned 10/23/2006

$695.32
Total Medicaid Paid
43
Total Claims
39
Beneficiary Records
2
Codes Billed
2019-08
First Month
2020-08
Last Month

Provider Details

Authorized OfficialEPPERSON, LINDA (NPI COORDINATOR)
NPI Enumeration Date10/23/2006

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 16 $268.20
2020 27 $427.12

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
V2020 Frames, purchases 31 27 $462.50
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 12 12 $232.82