Wal-Mart Stores Texas, LLC
Wal-Mart Stores Texas, LLC was paid $128K by Medicaid between Nov 2020 and Nov 2024, across 10 billing codes. Its largest line is V2020, Frames, purchases — 48% of everything it billed.
33Billing provider infoWAL-MART STORES TEXAS, LLC
GRAND PRAIRIE, TX 75052
GRAND PRAIRIE, TX 75052
33aNPI1104352459assigned 05/05/2017
33bProvider typeOptician
28Total paid$128K
24GClaims8,289
24DCodes billed10
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers
Next to other Optician providers in Texas
Rank by total paid#99 of 320
Median peer was paid$55K
This provider vs. median2.3×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 122 | $2K | |
| 2021 | 2,743 | $44K | |
| 2022 | 2,754 | $36K | |
| 2023 | 1,653 | $28K | |
| 2024incomplete | 1,017 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 48% | 2,968 | 2,924 | $61K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 29% | 2,134 | 2,105 | $37K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 6.9% | 572 | 570 | $9K |
| V2750 | Anti-reflective coating, per lens | 6.7% | 1,769 | 1,747 | $9K |
| V2025 | Deluxe frame | 5.7% | 149 | 149 | $7K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.9% | 253 | 249 | $4K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 169 | 168 | $760.66 |
| V2744 | Tint, photochromatic, per lens | <1% | 56 | 56 | $315.00 |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 12 | 12 | $199.50 |
| V2799 | Vision item or service, miscellaneous | <1% | 207 | 189 | $150.41 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialFISHER, KYLEE (MANAGER)
Parent organizationWAL-MART STORES, INC
| Provider | Location | Paid |
|---|---|---|
| Wal-Mart Stores Texas, LLC | Katy, TX | $122K |
| Wal-Mart Stores Texas, LLC | Anna, TX | $27K |
| Wal-Mart Stores Texas, LLC | Castroville, TX | $2K |
| Wal-Mart Stores Texas, LLC | Tyler, TX | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.