Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1821415779 · BATON ROUGE, LA 70810 · Optician · NPI assigned 03/27/2014

$57K
Total Medicaid Paid
2,419
Total Claims
2,165
Beneficiaries
5
Codes Billed
2019-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (DIR GOV CONTRACTING)
Parent OrganizationWAL-MART STORES, INC.
NPI Enumeration Date03/27/2014

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
2019 16 $301.92
2020 113 $3K
2021 252 $5K
2022 626 $16K
2023 785 $18K
2024 627 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 1,488 1,318 $39K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 565 486 $10K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 279 274 $7K
V2784 Lens, polycarbonate or equal, any index, per lens 63 63 $378.78
V2750 Anti-reflective coating, per lens 24 24 $33.00