Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1588746408 · CADILLAC, MI 49601 · Optician · NPI assigned 10/19/2006

$6K
Total Medicaid Paid
348
Total Claims
348
Beneficiaries
3
Codes Billed
2018-01
First Month
2023-10
Last Month

Provider Details

Authorized OfficialEPPERSON, LINDA (NPI COORDINATOE)
NPI Enumeration Date10/19/2006

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
2018 230 $4K
2021 65 $1K
2022 29 $423.00
2023 24 $309.90

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 257 257 $4K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 65 65 $2K
V2784 Lens, polycarbonate or equal, any index, per lens 26 26 $328.70