WAL-MART STORES TEXAS, LP
NPI: 1346345089
· LIVINGSTON, TX 77351
· 156FX1800X
$318K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
379 |
$10K |
| 2021 |
2,941 |
$83K |
| 2022 |
3,291 |
$83K |
| 2023 |
3,111 |
$84K |
| 2024 |
2,091 |
$58K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
3,217 |
3,180 |
$207K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
2,402 |
2,346 |
$41K |
| V2100 |
Lens spher single plano 4.00 |
1,574 |
1,562 |
$29K |
| V2020 |
Vision svcs frames purchases |
1,438 |
1,401 |
$19K |
| V2750 |
Anti-reflective coating |
2,093 |
2,054 |
$11K |
| V2744 |
Tint photochromatic lens/es |
424 |
417 |
$6K |
| V2784 |
Lens polycarb or equal |
492 |
468 |
$2K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
59 |
53 |
$2K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
102 |
101 |
$1K |
| V2799 |
Misc vision item or service |
12 |
12 |
$30.07 |