WAL-MART STORES EAST, LP
NPI: 1780797175
· MANSFIELD, OH 44903
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
592 |
$9K |
| 2019 |
557 |
$9K |
| 2020 |
285 |
$6K |
| 2021 |
501 |
$12K |
| 2022 |
858 |
$20K |
| 2023 |
737 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,758 |
1,716 |
$38K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
700 |
694 |
$14K |
| V2100 |
Lens spher single plano 4.00 |
398 |
371 |
$10K |
| V2784 |
Lens polycarb or equal |
460 |
445 |
$6K |
| V2750 |
Anti-reflective coating |
90 |
89 |
$910.00 |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
14 |
14 |
$474.14 |
| V2025 |
Eyeglasses delux frames |
110 |
110 |
$90.00 |