WAL-MART STORES TEXAS, LP
NPI: 1336248749
· HARLINGEN, TX 78552
· 156FX1800X
$301K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
273 |
$8K |
| 2021 |
2,323 |
$63K |
| 2022 |
2,361 |
$67K |
| 2023 |
3,618 |
$101K |
| 2024 |
1,822 |
$62K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
3,229 |
3,198 |
$215K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
2,420 |
2,364 |
$39K |
| V2750 |
Anti-reflective coating |
2,017 |
1,995 |
$13K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
741 |
721 |
$10K |
| V2020 |
Vision svcs frames purchases |
607 |
593 |
$7K |
| V2100 |
Lens spher single plano 4.00 |
478 |
465 |
$7K |
| V2784 |
Lens polycarb or equal |
525 |
517 |
$5K |
| V2744 |
Tint photochromatic lens/es |
208 |
208 |
$3K |
| V2799 |
Misc vision item or service |
143 |
134 |
$666.86 |
| V2107 |
Spherocylinder 4.25d/12-2d |
29 |
26 |
$386.03 |