Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1801974852 · LOS LUNAS, NM 87031 · Optician · NPI assigned 11/01/2006

$18K
Total Medicaid Paid
967
Total Claims
967
Beneficiaries
4
Codes Billed
2021-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialEPPERSON, LINDA (NPI COORDINATOR)
NPI Enumeration Date11/01/2006

Related Entities

Other providers sharing the same authorized official: EPPERSON, LINDA

ProviderCityStateTotal Paid
WAL-MART STORES EAST, LP COLUMBUS OH $361K
WAL-MART STOREES EAST, LP WADSWORTH OH $339K
WAL-MART STORES EAST, LP LEWIS CENTER OH $276K
WAL-MART STORES EAST, LP OAKLAND MD $161K
WAL-MART STORES EAST, LP SALEM OH $107K
WAL-MART STORES EAST, LP LIMA OH $8K
WAL-MART STORES EAST, LP BUCKHANNON WV $7K
WAL-MART STORES EAST, LP PRINCETON WV $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 504 $8K
2022 313 $6K
2023 66 $1K
2024 84 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 630 630 $13K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 240 240 $5K
V2784 Lens, polycarbonate or equal, any index, per lens 85 85 $279.00
V2750 Anti-reflective coating, per lens 12 12 $0.00