WAL-MART STORES TEXAS, LP
NPI: 1003915992
· SPRING, TX 77373
· 156FX1800X
$286K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
390 |
$12K |
| 2021 |
1,767 |
$54K |
| 2022 |
2,433 |
$75K |
| 2023 |
2,142 |
$80K |
| 2024 |
1,697 |
$65K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
3,179 |
3,179 |
$217K |
| V2100 |
Lens spher single plano 4.00 |
1,672 |
1,667 |
$32K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,386 |
1,379 |
$23K |
| V2750 |
Anti-reflective coating |
1,574 |
1,569 |
$5K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
329 |
329 |
$5K |
| V2020 |
Vision svcs frames purchases |
208 |
204 |
$4K |
| V2784 |
Lens polycarb or equal |
42 |
42 |
$382.21 |
| V2744 |
Tint photochromatic lens/es |
26 |
26 |
$85.83 |
| V2799 |
Misc vision item or service |
13 |
13 |
$10.00 |