Medicaid Provider Spending

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

WAL-MART STORES TEXAS LLC

NPI: 1407120868 · EL PASO, TX 79904 · Optician · NPI assigned 03/02/2012

$59K
Total Medicaid Paid
1,435
Total Claims
1,435
Beneficiaries
5
Codes Billed
2020-11
First Month
2024-05
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (MANAGER, GOV'T CONTRACTING)
Parent OrganizationWAL-MART STORES INC
NPI Enumeration Date03/02/2012

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 65 $2K
2021 558 $18K
2022 316 $14K
2023 413 $20K
2024 83 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2025 Deluxe frame 686 686 $47K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 428 428 $7K
V2750 Anti-reflective coating, per lens 281 281 $4K
V2744 Tint, photochromatic, per lens 13 13 $437.17
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 27 27 $406.94