Medicaid Provider Spending

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

WAL-MART STORES TEXAS LLC

NPI: 1124317334 · FRISCO, TX 75034 · Optician · NPI assigned 03/29/2011

$18K
Total Medicaid Paid
1,174
Total Claims
1,134
Beneficiaries
3
Codes Billed
2020-11
First Month
2024-08
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (MANAGER, GOV'T CONTRACTING)
Parent OrganizationWAL-MART STORES INC
NPI Enumeration Date03/29/2011

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 111 $2K
2021 499 $9K
2022 299 $4K
2023 249 $3K
2024 16 $270.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 596 577 $11K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 346 335 $5K
V2750 Anti-reflective coating, per lens 232 222 $1K