Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1619322633 · LABELLE, FL 33935 · Optician · NPI assigned 04/27/2016

$2K
Total Medicaid Paid
140
Total Claims
95
Beneficiaries
2
Codes Billed
2024-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (DIR HEALTH & WELLNESS ENROLL & CONT)
Parent OrganizationWAL-MART STORES, INC.
NPI Enumeration Date04/27/2016

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
2024 140 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 94 65 $1K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 46 30 $540.00