Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › LA › BOUTTE › WAL-MART LOUISIANA, LLC

WAL-MART LOUISIANA, LLC

NPI: 1699850537 · BOUTTE, LA 70039 · Optician · NPI assigned 10/26/2006

$35K
Total Medicaid Paid
1,800
Total Claims
1,519
Beneficiaries
5
Codes Billed
2019-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialEPPERSON, LINDA (NPI COORDINATOR)
NPI Enumeration Date10/26/2006

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
2019 50 $946.50
2020 140 $2K
2021 386 $7K
2022 551 $12K
2023 442 $9K
2024 231 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 1,299 1,095 $27K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 356 314 $7K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 29 29 $570.95
V2784 Lens, polycarbonate or equal, any index, per lens 67 39 $187.00
V2750 Anti-reflective coating, per lens 49 42 $185.00