Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1588042790 · DULLES, VA 20166 · Optician · NPI assigned 05/08/2015

$2K
Total Medicaid Paid
28
Total Claims
26
Beneficiaries
2
Codes Billed
2018-02
First Month
2018-02
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (DIRECTOR)
Parent OrganizationWAL-MART STORES, INC
NPI Enumeration Date05/08/2015

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 28 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 14 13 $1K
V2020 Frames, purchases 14 13 $105.12