WAL-MART STORES EAST, LP
NPI: 1952484693
· GROVE CITY, OH 43123
· 156FX1800X
$231K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,355 |
$38K |
| 2019 |
1,954 |
$32K |
| 2020 |
1,184 |
$25K |
| 2021 |
1,793 |
$47K |
| 2022 |
2,103 |
$58K |
| 2023 |
1,925 |
$24K |
| 2024 |
545 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
4,536 |
4,287 |
$105K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
2,707 |
2,567 |
$54K |
| V2784 |
Lens polycarb or equal |
1,907 |
1,865 |
$26K |
| V2100 |
Lens spher single plano 4.00 |
1,149 |
1,086 |
$23K |
| V2025 |
Eyeglasses delux frames |
912 |
912 |
$8K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
208 |
208 |
$8K |
| V2750 |
Anti-reflective coating |
336 |
333 |
$3K |
| V2200 |
Lens spher bifoc plano 4.00d |
64 |
61 |
$3K |
| V2107 |
Spherocylinder 4.25d/12-2d |
27 |
27 |
$446.68 |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
13 |
13 |
$204.40 |