Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ELK GROVE VILLAGE
› WAL-MART STORES, INC
WAL-MART STORES, INC
NPI: 1649351644 · ELK GROVE VILLAGE, IL 60007 ·
156FX1800X
$15K
Total Medicaid Paid
508
Total Claims
503
Beneficiaries
5
Codes Billed
2022-08
First Month
2024-10
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2022
70
$1K
2023
212
$7K
2024
226
$7K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
V2020
Vision svcs frames purchases
236
236
$9K
V2025
Eyeglasses delux frames
98
95
$3K
V2100
Lens spher single plano 4.00
135
133
$2K
V2103
Spherocylindr 4.00d/12-2.00d
26
26
$632.50
V2784
Lens polycarb or equal
13
13
$154.32