Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › SEALY › WAL-MART STORES TEXAS, LLC

WAL-MART STORES TEXAS, LLC

NPI: 1114058385 · SEALY, TX 77474 · Optician · NPI assigned 03/08/2007

$71K
Total Medicaid Paid
2,267
Total Claims
2,226
Beneficiaries
5
Codes Billed
2021-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (MGR GOV CONTRACTING)
Parent OrganizationWAL-MART STORES INC
NPI Enumeration Date03/08/2007

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
2021 524 $13K
2022 525 $16K
2023 717 $24K
2024 501 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2025 Deluxe frame 790 785 $51K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 477 467 $9K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 397 390 $6K
V2020 Frames, purchases 225 214 $4K
V2750 Anti-reflective coating, per lens 378 370 $2K