Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1992888796 · VICKSBURG, MS 39180 · Optician · NPI assigned 10/23/2006

$64K
Total Medicaid Paid
3,654
Total Claims
3,497
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (DIRECTOR)
NPI Enumeration Date10/23/2006

Related Entities

Other providers sharing the same authorized official: LEVINE, LAURA

ProviderCityStateTotal Paid
SAMS WEST INC DENVER CO $9K
SAMS WEST INC HONOLULU HI $6K
SAMS WEST INC AURORA CO $1K
SAMS EAST INC WINSTON SALEM NC $715.00
SAMS WEST INC RENO NV $0.00
SAMS EAST INC METAIRIE LA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 564 $9K
2019 629 $10K
2020 314 $5K
2021 483 $9K
2022 714 $13K
2023 444 $7K
2024 506 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 2,339 2,228 $36K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 798 759 $16K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 505 498 $12K
V2781 Progressive lens, per lens 12 12 $0.00