Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1780767061 · EUREKA, MO 63025 · Eyewear Supplier · NPI assigned 10/23/2006

$451.70
Total Medicaid Paid
39
Total Claims
39
Beneficiaries
2
Codes Billed
2019-03
First Month
2024-08
Last Month

Provider Details

Authorized OfficialMCMULLIN, MATT (DIR ENROLLMENT CONTRACTING)
NPI Enumeration Date10/23/2006

Related Entities

Other providers sharing the same authorized official: MCMULLIN, MATT

ProviderCityStateTotal Paid
WAL-MART STORES EAST, LP ALTOONA PA $96K
WALMART INC. COLORADO SPRINGS CO $39K
WAL-MART STORES EAST LP HAGERSTOWN MD $23K
WALMART INC. AURORA CO $1K
WAL-MART STORES EAST LP LIVE OAK FL $0.00
WAL-MART STORES EAST LP FLORIDA CITY FL $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 13 $103.50
2021 13 $252.20
2024 13 $96.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 26 26 $348.20
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 13 13 $103.50