Wal-Mart Stores Texas, LLC
Wal-Mart Stores Texas, LLC was paid $122K by Medicaid between Oct 2020 and Dec 2024, across 9 billing codes. Its largest line is V2025, Deluxe frame — 70% of everything it billed.
33Billing provider infoWAL-MART STORES TEXAS, LLC
KATY, TX 77449
KATY, TX 77449
33aNPI1225578529assigned 03/06/2017
33bProvider typeOptician
28Total paid$122K
24GClaims4,470
24DCodes billed9
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Optician providers in Texas
Rank by total paid#103 of 320
Median peer was paid$55K
This provider vs. median2.2×
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 | 177 | $6K | |
| 2021 | 1,069 | $27K | |
| 2022 | 1,133 | $28K | |
| 2023 | 1,075 | $31K | |
| 2024incomplete | 1,016 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2025 | Deluxe frame | 70% | 1,317 | 1,301 | $85K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 13% | 812 | 794 | $16K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 8.7% | 680 | 660 | $11K |
| V2020 | Frames, purchases | 4.7% | 383 | 356 | $6K |
| V2750 | Anti-reflective coating, per lens | 3.0% | 1,193 | 1,168 | $4K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 45 | 45 | $679.44 |
| V2799 | Vision item or service, miscellaneous | <1% | 15 | 14 | $105.09 |
| V2744 | Tint, photochromatic, per lens | <1% | 13 | 13 | $63.50 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 12 | 12 | $41.58 |
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 officialFISHER, KYLEE (MANAGER)
Parent organizationWAL-MART STORES, INC
| Provider | Location | Paid |
|---|---|---|
| Wal-Mart Stores Texas, LLC | Grand Prairie, TX | $128K |
| Wal-Mart Stores Texas, LLC | Anna, TX | $27K |
| Wal-Mart Stores Texas, LLC | Castroville, TX | $2K |
| Wal-Mart Stores Texas, LLC | Tyler, TX | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.