Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1700202801 · HOMESTEAD, FL 33033 · Optician · NPI assigned 03/13/2014

$23K
Total Medicaid Paid
2,027
Total Claims
1,312
Beneficiaries
4
Codes Billed
2021-10
First Month
2024-08
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (DIR HEALTHCARE CONTRACTING & ENROLL)
Parent OrganizationWAL-MART STORES, INC.
NPI Enumeration Date03/13/2014

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
2021 87 $813.00
2022 566 $7K
2023 786 $9K
2024 588 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 1,125 722 $15K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 515 316 $7K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 41 25 $573.00
V2750 Anti-reflective coating, per lens 346 249 $0.00