WAL-MART STORES TEXAS, LP
NPI: 1275632770
· CYPRESS, TX 77429
· 156FX1800X
$175K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
226 |
$7K |
| 2021 |
1,371 |
$42K |
| 2022 |
1,341 |
$42K |
| 2023 |
1,371 |
$50K |
| 2024 |
973 |
$34K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
1,878 |
1,876 |
$135K |
| V2100 |
Lens spher single plano 4.00 |
867 |
861 |
$16K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
889 |
885 |
$15K |
| V2750 |
Anti-reflective coating |
1,288 |
1,283 |
$4K |
| V2020 |
Vision svcs frames purchases |
170 |
168 |
$3K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
130 |
129 |
$2K |
| V2744 |
Tint photochromatic lens/es |
60 |
60 |
$303.10 |