Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WAL-MART STORES EAST, LP.

NPI: 1821865999 · BRANFORD, CT 06405 · Eyewear Supplier · NPI assigned 12/07/2023

$6K
Total Medicaid Paid
277
Total Claims
259
Beneficiaries
3
Codes Billed
2024-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGARVEY, MICHELE (DIRECTOR OF HEALTH CARE CONTRACTING)
NPI Enumeration Date12/07/2023

Related Entities

Other providers sharing the same authorized official: GARVEY, MICHELE

ProviderCityStateTotal Paid
WALMART INC. HOMEWOOD IL $28K
WAL-MART STORES EAST, LP. HARRISBURG PA $18K
WALMART INC. NORTH LAS VEGAS NV $15K
WALMART INC. RAPID CITY SD $8K
WAL-MART STORES EAST, LP. LAS CRUCES NM $4K
WAL-MART STORES TEXAS, LLC FORT WORTH TX $2K
WAL-MART STORES EAST, LP. ALBUQUERQUE NM $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 277 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 183 167 $4K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 81 79 $2K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 13 13 $315.00