Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1801236096 · SPRING HILL, TN 37174 · Optician · NPI assigned 07/02/2013

$10K
Total Medicaid Paid
771
Total Claims
710
Beneficiaries
3
Codes Billed
2018-02
First Month
2024-08
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (MGR. GOVERNMENT CONTRACTS)
Parent OrganizationWAL-MART STORES, INC
NPI Enumeration Date07/02/2013

Related Entities

Other providers sharing the same authorized official: LEVINE, LAURA

ProviderCityStateTotal Paid
SAMS WEST INC DENVER CO $9K
SAMS WEST INC HONOLULU HI $6K
SAMS WEST INC AURORA CO $1K
SAMS EAST INC WINSTON SALEM NC $715.00
SAMS WEST INC RENO NV $0.00
SAMS EAST INC METAIRIE LA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 60 $859.98
2019 214 $3K
2020 133 $3K
2021 149 $2K
2022 81 $876.65
2023 102 $1K
2024 32 $352.80

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 550 514 $8K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 96 84 $2K
V2750 Anti-reflective coating, per lens 125 112 $635.00