WAL-MART STORES EAST, LP
NPI: 1942381314
· GLEN BURNIE, MD 21144
· 332H00000X
$214K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,056 |
$11K |
| 2021 |
2,360 |
$36K |
| 2022 |
2,661 |
$44K |
| 2023 |
3,501 |
$67K |
| 2024 |
3,061 |
$56K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
5,406 |
5,174 |
$137K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
3,146 |
2,989 |
$40K |
| V2100 |
Lens spher single plano 4.00 |
1,370 |
1,306 |
$24K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
449 |
432 |
$4K |
| V2520 |
Contact lens hydrophilic |
31 |
26 |
$3K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
62 |
62 |
$2K |
| V2784 |
Lens polycarb or equal |
467 |
454 |
$2K |
| V2750 |
Anti-reflective coating |
1,582 |
1,518 |
$2K |
| V2025 |
Eyeglasses delux frames |
17 |
17 |
$279.00 |
| V2107 |
Spherocylinder 4.25d/12-2d |
24 |
24 |
$195.00 |
| V2744 |
Tint photochromatic lens/es |
85 |
78 |
$150.00 |