WAL-MART STORES TEXAS, LP
NPI: 1003914334
· WHARTON, TX 77488
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
12 |
$662.50 |
| 2021 |
232 |
$9K |
| 2022 |
107 |
$5K |
| 2023 |
181 |
$7K |
| 2024 |
188 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
353 |
352 |
$20K |
| V2100 |
Lens spher single plano 4.00 |
138 |
136 |
$3K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
144 |
141 |
$2K |
| V2020 |
Vision svcs frames purchases |
85 |
84 |
$1K |