WAL-MART STORES EAST, LP
NPI: 1780765156
· LAUREL, MD 20724
· 156FX1800X
$147K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
741 |
$13K |
| 2021 |
1,532 |
$29K |
| 2022 |
1,940 |
$38K |
| 2023 |
2,140 |
$38K |
| 2024 |
1,296 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,940 |
2,833 |
$97K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,620 |
1,561 |
$26K |
| V2100 |
Lens spher single plano 4.00 |
681 |
640 |
$12K |
| 92004 |
|
183 |
173 |
$4K |
| 92014 |
|
157 |
150 |
$3K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
239 |
225 |
$3K |
| V2784 |
Lens polycarb or equal |
312 |
293 |
$1K |
| V2750 |
Anti-reflective coating |
1,292 |
1,215 |
$1K |
| V2025 |
Eyeglasses delux frames |
13 |
13 |
$267.00 |
| V2107 |
Spherocylinder 4.25d/12-2d |
13 |
13 |
$115.00 |
| 92015 |
|
199 |
183 |
$0.00 |