Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IL › STREAMWOOD › WAL-MART STORES INC

WAL-MART STORES INC

NPI: 1831408160 · STREAMWOOD, IL 60107 · 156FX1800X

$39K
Total Medicaid Paid
1,259
Total Claims
1,249
Beneficiaries
5
Codes Billed
2019-02
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 84 $5K
2022 83 $3K
2023 656 $19K
2024 436 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Vision svcs frames purchases 710 710 $23K
V2103 Spherocylindr 4.00d/12-2.00d 379 376 $9K
V2025 Eyeglasses delux frames 67 60 $5K
V2100 Lens spher single plano 4.00 91 91 $2K
V2104 Spherocylindr 4.00d/2.12-4d 12 12 $246.50