Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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MO
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JEFFERSON CITY
› WAL-MART STORES, INC.
WAL-MART STORES, INC.
NPI: 1861626772 · JEFFERSON CITY, MO 65101 ·
332H00000X
$37K
Total Medicaid Paid
2,168
Total Claims
2,162
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-10
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
528
$8K
2019
471
$8K
2020
95
$2K
2021
226
$3K
2022
455
$9K
2023
246
$6K
2024
147
$1K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
V2020
Vision svcs frames purchases
1,196
1,191
$24K
V2103
Spherocylindr 4.00d/12-2.00d
607
607
$9K
V2100
Lens spher single plano 4.00
339
338
$4K
V2784
Lens polycarb or equal
12
12
$155.00
V2025
Eyeglasses delux frames
14
14
$0.00