Medicaid Provider Spending

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

WAL-MART STORES TEXES LLC

NPI: 1205229259 · BROWNSVILLE, TX 78526 · Optician · NPI assigned 03/16/2015

$69K
Total Medicaid Paid
1,432
Total Claims
1,427
Beneficiaries
5
Codes Billed
2021-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (DIRECTOR)
Parent OrganizationWAL-MART STORES INC
NPI Enumeration Date03/16/2015

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 444 $20K
2022 655 $30K
2023 267 $15K
2024 66 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2025 Deluxe frame 803 801 $60K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 404 402 $7K
V2750 Anti-reflective coating, per lens 200 199 $2K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 12 12 $214.08
V2784 Lens, polycarbonate or equal, any index, per lens 13 13 $140.36