WAL-MART STORES EAST, LP
NPI: 1952487431
· ALTOONA, PA 16602
· 332H00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
177 |
$6K |
| 2021 |
1,303 |
$36K |
| 2022 |
429 |
$11K |
| 2023 |
341 |
$7K |
| 2024 |
979 |
$36K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2103 |
Spherocylindr 4.00d/12-2.00d |
819 |
689 |
$27K |
| V2020 |
Vision svcs frames purchases |
1,589 |
1,323 |
$27K |
| V2025 |
Eyeglasses delux frames |
376 |
376 |
$22K |
| V2100 |
Lens spher single plano 4.00 |
255 |
212 |
$11K |
| 92014 |
|
92 |
92 |
$5K |
| V2115 |
Lens lenticular bifocal |
59 |
44 |
$4K |
| 92004 |
|
26 |
25 |
$1K |
| V2750 |
Anti-reflective coating |
13 |
13 |
$143.00 |