WAL-MART STORES, INC.
NPI: 1790840692
· LAS VEGAS, NV 89122
· Optician
· NPI assigned 12/22/2006
Provider Details
| Authorized Official | RICE, BJ (PROVIDER ENROLLMENT SPECIALIST) |
| NPI Enumeration Date | 12/22/2006 |
Related Entities
Other providers sharing the same authorized official: RICE, BJ
| Provider | City | State | Total Paid |
|---|
| WAL-MART STORES EAST, LP |
WHITEHALL |
OH |
$295K |
| WAL-MART STORES EAST, LP |
KANSAS CITY |
MO |
$267K |
| WAL-MART STORES EAST, LP |
COLUMBUS |
OH |
$229K |
| WAL-MART STORES EAST, LP |
HANOVER |
PA |
$103K |
| WAL-MART STORES EAST, LP |
NASHVILLE |
TN |
$67K |
| WAL-MART STORES EAST, LP |
MATHEWS |
LA |
$36K |
| WAL-MART STORES, INC. |
WASHINGTON |
MO |
$2K |
| WAL-MART STORES EAST, LP |
JOHNSON CITY |
TN |
$718.15 |
| WAL-MART STORES EAST, LP |
MACCLENNY |
FL |
$470.00 |
| WAL-MART STORES EAST, LP |
OOLTEWAH |
TN |
$291.05 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
138 |
$2K |
| 2020 |
180 |
$3K |
| 2021 |
278 |
$5K |
| 2022 |
433 |
$8K |
| 2023 |
642 |
$11K |
| 2024 |
559 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,537 |
1,529 |
$27K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
647 |
646 |
$11K |
| V2750 |
Anti-reflective coating, per lens |
34 |
34 |
$510.00 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
12 |
12 |
$185.00 |