Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › SPARTA › WAL-MART STORES EAST, LP

WAL-MART STORES EAST, LP

NPI: 1952482788 · SPARTA, WI 54656 · Optician · NPI assigned 10/18/2006

$7K
Total Medicaid Paid
452
Total Claims
448
Beneficiaries
2
Codes Billed
2018-04
First Month
2024-10
Last Month

Provider Details

Authorized OfficialEPPERSON, LINDA (NPI COORDINATOR)
NPI Enumeration Date10/18/2006

Related Entities

Other providers sharing the same authorized official: EPPERSON, LINDA

ProviderCityStateTotal Paid
WAL-MART STORES EAST, LP COLUMBUS OH $361K
WAL-MART STOREES EAST, LP WADSWORTH OH $339K
WAL-MART STORES EAST, LP LEWIS CENTER OH $276K
WAL-MART STORES EAST, LP OAKLAND MD $161K
WAL-MART STORES EAST, LP SALEM OH $107K
WAL-MART STORES EAST, LP LIMA OH $8K
WAL-MART STORES EAST, LP BUCKHANNON WV $7K
WAL-MART STORES EAST, LP PRINCETON WV $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 116 $2K
2019 118 $2K
2020 64 $1K
2021 41 $569.00
2022 24 $347.00
2023 58 $778.00
2024 31 $423.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 400 396 $6K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 52 52 $1K