Medicaid Provider Spending

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

WAL-MART STORES TEXAS, LLC

NPI: 1376627935 · MINERAL WELLS, TX 76067 · Optician · NPI assigned 10/24/2006

$9K
Total Medicaid Paid
481
Total Claims
465
Beneficiaries
4
Codes Billed
2020-12
First Month
2024-03
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (NPI COORDINATOR)
Parent OrganizationWAL-MART STORES INC
NPI Enumeration Date10/24/2006

Related Entities

Other providers sharing the same authorized official: LEVINE, LAURA

ProviderCityStateTotal Paid
SAMS WEST INC DENVER CO $9K
SAMS WEST INC HONOLULU HI $6K
SAMS WEST INC AURORA CO $1K
SAMS EAST INC WINSTON SALEM NC $715.00
SAMS WEST INC RENO NV $0.00
SAMS EAST INC METAIRIE LA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 13 $179.00
2021 247 $3K
2022 155 $3K
2023 40 $1K
2024 26 $439.64

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 250 240 $4K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 132 128 $2K
V2025 Deluxe frame 28 28 $2K
V2750 Anti-reflective coating, per lens 71 69 $514.10