Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1770913683 · CANTON, MS 39046 · Optician · NPI assigned 11/14/2013

$55K
Total Medicaid Paid
3,353
Total Claims
2,948
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (DIR. GIVERNMENT CONTRACTING)
Parent OrganizationWAL-MART STORES, INC
NPI Enumeration Date11/14/2013

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 257 $4K
2019 554 $9K
2020 369 $6K
2021 592 $9K
2022 829 $13K
2023 411 $8K
2024 341 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 2,033 1,798 $29K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 974 815 $18K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 346 335 $9K