Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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WEST BURLINGTON
› WAL-MART STORES, INC.
WAL-MART STORES, INC.
NPI: 1588747125 · WEST BURLINGTON, IA 52655 ·
156FX1800X
$80K
Total Medicaid Paid
3,594
Total Claims
3,568
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-11
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
899
$19K
2019
697
$15K
2020
387
$9K
2021
501
$11K
2022
486
$11K
2023
362
$8K
2024
262
$6K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
V2020
Vision svcs frames purchases
2,341
2,325
$54K
V2103
Spherocylindr 4.00d/12-2.00d
1,156
1,147
$24K
V2100
Lens spher single plano 4.00
72
71
$1K
V2203
Lens sphcyl bifocal 4.00d/.1
25
25
$914.44