WAL-MART STORES EAST, LP
NPI: 1881776797
· ALCOA, TN 37701
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,033 |
$13K |
| 2019 |
1,508 |
$18K |
| 2020 |
1,011 |
$11K |
| 2021 |
1,579 |
$13K |
| 2022 |
1,655 |
$12K |
| 2023 |
2,418 |
$15K |
| 2024 |
1,070 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
4,617 |
3,756 |
$45K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
2,241 |
1,865 |
$36K |
| V2100 |
Lens spher single plano 4.00 |
528 |
450 |
$9K |
| V2750 |
Anti-reflective coating |
1,509 |
1,299 |
$2K |
| V2784 |
Lens polycarb or equal |
792 |
617 |
$1K |
| V2744 |
Tint photochromatic lens/es |
284 |
260 |
$285.00 |
| V2781 |
Progressive lens per lens |
274 |
221 |
$130.50 |
| V2025 |
Eyeglasses delux frames |
14 |
12 |
$0.00 |
| V2702 |
Deluxe lens feature |
15 |
13 |
$0.00 |