Medicaid Provider Spending

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

WAL-MART STORES TEXAS, LLC

NPI: 1144680539 · SPRING, TX 77386 · Optician · NPI assigned 02/29/2016

$27K
Total Medicaid Paid
738
Total Claims
732
Beneficiaries
5
Codes Billed
2020-10
First Month
2024-05
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (DIR HEALTHCARE CONTRACTING&ENROLLME)
Parent OrganizationWAL-MART STORES, INC.
NPI Enumeration Date02/29/2016

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 75 $2K
2021 415 $14K
2022 151 $6K
2023 84 $4K
2024 13 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2025 Deluxe frame 338 338 $22K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 230 225 $4K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 40 40 $624.74
V2750 Anti-reflective coating, per lens 118 117 $584.19
V2020 Frames, purchases 12 12 $158.00