Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › JACKSONVILLE › WAL-MART STORES TEXAS, LP

WAL-MART STORES TEXAS, LP

NPI: 1356422737 · JACKSONVILLE, TX 75766 · Optician · NPI assigned 10/18/2006

$74K
Total Medicaid Paid
2,631
Total Claims
2,594
Beneficiaries
6
Codes Billed
2020-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialEPPERSON, LINDA (NPI COORDINATOR)
NPI Enumeration Date10/18/2006

Related Entities

Other providers sharing the same authorized official: EPPERSON, LINDA

ProviderCityStateTotal Paid
WAL-MART STORES EAST, LP COLUMBUS OH $361K
WAL-MART STOREES EAST, LP WADSWORTH OH $339K
WAL-MART STORES EAST, LP LEWIS CENTER OH $276K
WAL-MART STORES EAST, LP OAKLAND MD $161K
WAL-MART STORES EAST, LP SALEM OH $107K
WAL-MART STORES EAST, LP LIMA OH $8K
WAL-MART STORES EAST, LP BUCKHANNON WV $7K
WAL-MART STORES EAST, LP PRINCETON WV $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 78 $2K
2021 735 $20K
2022 941 $27K
2023 553 $17K
2024 324 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2025 Deluxe frame 671 671 $46K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 780 768 $12K
V2020 Frames, purchases 592 578 $10K
V2750 Anti-reflective coating, per lens 524 516 $5K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 50 48 $711.94
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 14 13 $181.00