Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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DUBUQUE
› WAL-MART STORES, INC.
WAL-MART STORES, INC.
NPI: 1972684017 · DUBUQUE, IA 52003 ·
156FX1800X
$90K
Total Medicaid Paid
4,054
Total Claims
3,959
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-08
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
1,151
$25K
2019
889
$19K
2020
564
$13K
2021
720
$16K
2022
573
$13K
2023
82
$2K
2024
75
$2K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
V2020
Vision svcs frames purchases
2,520
2,460
$60K
V2103
Spherocylindr 4.00d/12-2.00d
1,139
1,111
$22K
V2100
Lens spher single plano 4.00
338
335
$6K
V2203
Lens sphcyl bifocal 4.00d/.1
30
26
$955.79
V2781
Progressive lens per lens
27
27
$649.50