WAL-MART STORES TEXAS, LP
NPI: 1154404739
· LONGVIEW, TX 75605
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
13 |
$232.96 |
| 2021 |
594 |
$15K |
| 2022 |
508 |
$11K |
| 2023 |
195 |
$5K |
| 2024 |
53 |
$788.39 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
248 |
246 |
$15K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
456 |
449 |
$7K |
| V2020 |
Vision svcs frames purchases |
470 |
448 |
$7K |
| V2750 |
Anti-reflective coating |
175 |
170 |
$2K |
| V2100 |
Lens spher single plano 4.00 |
14 |
14 |
$183.00 |