WAL-MART STORES EAST, LP
NPI: 1639251853
· MIDLAND, MI 48642
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
656 |
$12K |
| 2020 |
32 |
$702.00 |
| 2021 |
266 |
$5K |
| 2022 |
294 |
$6K |
| 2023 |
299 |
$4K |
| 2024 |
346 |
$320.28 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,169 |
1,169 |
$18K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
151 |
151 |
$4K |
| V2100 |
Lens spher single plano 4.00 |
352 |
352 |
$3K |
| V2784 |
Lens polycarb or equal |
191 |
191 |
$2K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
30 |
30 |
$1K |