WAL-MART STORES EAST, LP
NPI: 1912010752
· CHILLICOTHE, OH 45601
· 156FX1800X
$122K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,190 |
$18K |
| 2019 |
1,234 |
$18K |
| 2020 |
720 |
$13K |
| 2021 |
1,042 |
$22K |
| 2022 |
1,519 |
$39K |
| 2023 |
637 |
$9K |
| 2024 |
246 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,973 |
2,947 |
$60K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,178 |
1,170 |
$23K |
| V2100 |
Lens spher single plano 4.00 |
884 |
864 |
$19K |
| V2784 |
Lens polycarb or equal |
1,190 |
1,170 |
$15K |
| V2025 |
Eyeglasses delux frames |
232 |
232 |
$2K |
| V2200 |
Lens spher bifoc plano 4.00d |
42 |
38 |
$2K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
39 |
39 |
$991.44 |
| V2781 |
Progressive lens per lens |
12 |
12 |
$333.50 |
| V2750 |
Anti-reflective coating |
38 |
37 |
$300.00 |