WAL-MART STORES TEXAS, LLC
NPI: 1366725525
· CORPUS CHRISTI, TX 78411
· 156FX1800X
$404K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
431 |
$19K |
| 2021 |
2,431 |
$96K |
| 2022 |
2,877 |
$108K |
| 2023 |
2,739 |
$107K |
| 2024 |
1,955 |
$75K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
3,255 |
3,251 |
$301K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
3,038 |
3,027 |
$51K |
| V2020 |
Vision svcs frames purchases |
1,391 |
1,367 |
$21K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
251 |
249 |
$12K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
745 |
741 |
$10K |
| V2100 |
Lens spher single plano 4.00 |
329 |
323 |
$5K |
| V2799 |
Misc vision item or service |
440 |
411 |
$4K |
| V2750 |
Anti-reflective coating |
971 |
968 |
$2K |
| V2107 |
Spherocylinder 4.25d/12-2d |
13 |
13 |
$210.00 |