WAL-MART STORES EAST, LP
NPI: 1942386347
· PARMA, OH 44129
· 156FX1800X
$142K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
829 |
$20K |
| 2019 |
772 |
$12K |
| 2020 |
652 |
$17K |
| 2021 |
836 |
$27K |
| 2022 |
1,413 |
$54K |
| 2023 |
505 |
$6K |
| 2024 |
315 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,768 |
2,543 |
$94K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,373 |
1,262 |
$27K |
| V2783 |
Lens, >= 1.66 p/>=1.80 g |
85 |
84 |
$6K |
| V2750 |
Anti-reflective coating |
623 |
605 |
$5K |
| V2410 |
Lens variab asphericity sing |
73 |
72 |
$5K |
| V2100 |
Lens spher single plano 4.00 |
192 |
169 |
$4K |
| V2784 |
Lens polycarb or equal |
180 |
177 |
$3K |
| V2744 |
Tint photochromatic lens/es |
28 |
26 |
$0.00 |