Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1710312574 · BROOKLYN, CT 06234 · Optician · NPI assigned 09/11/2013

$69K
Total Medicaid Paid
4,042
Total Claims
3,366
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (MANAGER OF GOVERNMENT CONTRACTING)
Parent OrganizationWAL-MART STORES INC
NPI Enumeration Date09/11/2013

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
2018 880 $16K
2019 1,045 $21K
2020 750 $15K
2021 573 $6K
2022 463 $5K
2023 184 $3K
2024 147 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 2,677 2,177 $43K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1,232 1,068 $23K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 105 93 $2K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 28 28 $523.95