Medicaid Provider Spending

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

WAL-MART STORES TEXAS, LLC

NPI: 1124124581 · SILSBEE, TX 77656 · Optician · NPI assigned 09/15/2006

$57K
Total Medicaid Paid
1,807
Total Claims
1,781
Beneficiaries
6
Codes Billed
2020-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (MANAGER GOV CONTRACTING)
Parent OrganizationWAL-MART STORES INC
NPI Enumeration Date09/15/2006

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
2020 32 $448.00
2021 488 $15K
2022 653 $21K
2023 392 $13K
2024 242 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2025 Deluxe frame 680 675 $38K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 475 466 $9K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 355 353 $6K
V2020 Frames, purchases 226 217 $4K
V2750 Anti-reflective coating, per lens 58 57 $112.08
V2784 Lens, polycarbonate or equal, any index, per lens 13 13 $91.33