Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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WATERLOO
› WAL-MART STORES, INC.
WAL-MART STORES, INC.
NPI: 1801977608 · WATERLOO, IA 50702 ·
156FX1800X
$118K
Total Medicaid Paid
5,241
Total Claims
5,165
Beneficiaries
5
Codes Billed
2018-01
First Month
2023-04
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
1,621
$36K
2019
1,351
$31K
2020
703
$16K
2021
887
$20K
2022
635
$14K
2023
44
$1K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
V2020
Vision svcs frames purchases
3,050
3,004
$70K
V2103
Spherocylindr 4.00d/12-2.00d
1,915
1,888
$41K
V2203
Lens sphcyl bifocal 4.00d/.1
118
115
$5K
V2100
Lens spher single plano 4.00
144
144
$3K
V2781
Progressive lens per lens
14
14
$370.00