Wal-Mart Stores Texas, LLC
Wal-Mart Stores Texas, LLC was paid $9K by Medicaid between Dec 2020 and Mar 2024, across 3 billing codes. Its largest line is V2025, Deluxe frame — 96% of everything it billed.
33Billing provider infoWAL-MART STORES TEXAS, LLC
SAN ANTONIO, TX 78217
SAN ANTONIO, TX 78217
33aNPI1225468135assigned 11/14/2013
33bProvider typeOptician
28Total paid$9K
24GClaims151
24DCodes billed3
24AFirst – last monthDec 2020 – Mar 2024
Compared with peers
Next to other Optician providers in Texas
Rank by total paid#252 of 320
Median peer was paid$55K
This provider vs. median0.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 12 | $858.27 | |
| 2021 | 26 | $2K | |
| 2022 | 13 | $880.79 | |
| 2023 | 75 | $4K | |
| 2024incomplete | 25 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2025 | Deluxe frame | 96% | 122 | 122 | $9K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3.0% | 15 | 15 | $268.16 |
| V2750 | Anti-reflective coating, per lens | 1.2% | 14 | 14 | $108.40 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLEVINE, LAURA (DIR., GOVERNMENT CONTRACTING)
Parent organizationWAL-MART STORES, INC
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.