WAL-MART STORES EAST, LP
NPI: 1992888796
· VICKSBURG, MS 39180
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
564 |
$9K |
| 2019 |
629 |
$10K |
| 2020 |
314 |
$5K |
| 2021 |
483 |
$9K |
| 2022 |
714 |
$13K |
| 2023 |
444 |
$7K |
| 2024 |
506 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,339 |
2,228 |
$36K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
798 |
759 |
$16K |
| V2100 |
Lens spher single plano 4.00 |
505 |
498 |
$12K |
| V2781 |
Progressive lens per lens |
12 |
12 |
$0.00 |