Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1831560465 · FORT LAUDERDALE, FL 33312 · Optician · NPI assigned 10/08/2015

$3K
Total Medicaid Paid
206
Total Claims
177
Beneficiaries
2
Codes Billed
2019-08
First Month
2022-03
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (DIR HEALTHCARE CONTRACTING & ENROLL)
Parent OrganizationWAL-MART STORES, INC.
NPI Enumeration Date10/08/2015

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 91 $1K
2020 94 $2K
2022 21 $257.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 172 145 $3K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 34 32 $526.00