WAL-MART STORES EAST, LP
NPI: 1568545762
· MAGEE, MS 39111
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
171 |
$3K |
| 2019 |
157 |
$3K |
| 2020 |
82 |
$2K |
| 2021 |
65 |
$1K |
| 2022 |
120 |
$2K |
| 2023 |
110 |
$1K |
| 2024 |
87 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
678 |
631 |
$12K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
74 |
70 |
$1K |
| V2100 |
Lens spher single plano 4.00 |
40 |
40 |
$789.75 |