Medicaid Provider Spending

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

WAL-MART STORES, INC.

NPI: 1891166294 · SIOUX CENTER, IA 51250 · Optician · NPI assigned 10/12/2015

$172K
Total Medicaid Paid
10,249
Total Claims
10,131
Beneficiaries
3
Codes Billed
2018-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLAUVER, DEB (SPECIALIST PLAN ENROLLMENT)
NPI Enumeration Date10/12/2015

Related Entities

Other providers sharing the same authorized official: LAUVER, DEB

ProviderCityStateTotal Paid
WAL-MART STORES, INC OMAHA NE $235K
WAL-MART STORES EAST, LP STOUGHTON WI $116K
WAL-MART STORES EAST LP NEW BERLIN WI $111K
WAL-MART STORES EAST, LP WHITEWATER WI $92K
WAL-MART STORES EAST, LP WARREN MI $17K
WAL-MART STORES EAST, LP LIMA OH $11K
WAL-MART STORES EAST, LP HARTFORD WI $476.00
WAL-MART STORES, INC COUNCIL BLUFFS IA $259.25
WALMART INC. LAS VEGAS NV $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27 $429.48
2020 20 $377.35
2021 2,159 $37K
2022 3,761 $64K
2023 3,055 $50K
2024 1,227 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 7,527 7,442 $128K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 2,643 2,612 $43K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 79 77 $1K