Medicaid Provider Spending

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

WAL-MART STORES, INC.

NPI: 1891149332 · RICHTON PARK, IL 60471 · Optician · NPI assigned 04/21/2016

$8K
Total Medicaid Paid
442
Total Claims
434
Beneficiaries
4
Codes Billed
2023-03
First Month
2024-02
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (DIR. HEALTHCARE CONTRACT&ENROLLMENT)
NPI Enumeration Date04/21/2016

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
2023 381 $7K
2024 61 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 273 268 $6K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 78 77 $1K
V2784 Lens, polycarbonate or equal, any index, per lens 77 75 $758.94
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 14 14 $289.50