Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SD › SIOUX FALLS › WAL-MART STORES, INC.

WAL-MART STORES, INC.

NPI: 1568879419 · SIOUX FALLS, SD 57107 · Optician · NPI assigned 07/11/2014

$34K
Total Medicaid Paid
1,024
Total Claims
968
Beneficiaries
3
Codes Billed
2018-02
First Month
2024-08
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (DIRECTOR OF GOVERNMENT CONTRACTING)
NPI Enumeration Date07/11/2014

Related Entities

Other providers sharing the same authorized official: LEVINE, LAURA

ProviderCityStateTotal Paid
SAMS WEST INC DENVER CO $9K
SAMS WEST INC HONOLULU HI $6K
SAMS WEST INC AURORA CO $1K
SAMS EAST INC WINSTON SALEM NC $715.00
SAMS WEST INC RENO NV $0.00
SAMS EAST INC METAIRIE LA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 52 $2K
2019 14 $0.00
2020 63 $2K
2021 37 $1K
2022 356 $13K
2023 364 $11K
2024 138 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 610 576 $24K
V2199 Not otherwise classified, single vision lens 394 375 $10K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 20 17 $0.00