WAL-MART STORES EAST, LP
NPI: 1790898054
· WEBSTER, NY 14580
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
807 |
$25K |
| 2019 |
666 |
$21K |
| 2020 |
434 |
$13K |
| 2021 |
548 |
$15K |
| 2022 |
526 |
$13K |
| 2023 |
389 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,138 |
2,133 |
$68K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,121 |
1,118 |
$27K |
| V2100 |
Lens spher single plano 4.00 |
83 |
83 |
$2K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
28 |
28 |
$1K |