WAL-MART STORES TEXAS, LP
NPI: 1407940851
· CONROE, TX 77304
· 156FX1800X
$435K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
713 |
$20K |
| 2021 |
3,624 |
$96K |
| 2022 |
4,309 |
$106K |
| 2023 |
4,669 |
$120K |
| 2024 |
3,433 |
$94K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
4,151 |
4,145 |
$279K |
| V2100 |
Lens spher single plano 4.00 |
2,460 |
2,442 |
$48K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
2,387 |
2,369 |
$39K |
| V2020 |
Vision svcs frames purchases |
1,769 |
1,740 |
$29K |
| V2750 |
Anti-reflective coating |
3,224 |
3,203 |
$14K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
855 |
848 |
$12K |
| V2744 |
Tint photochromatic lens/es |
834 |
829 |
$6K |
| V2799 |
Misc vision item or service |
569 |
555 |
$3K |
| V2784 |
Lens polycarb or equal |
341 |
340 |
$3K |
| V2105 |
Spherocylinder 4.00d/4.25-6d |
86 |
86 |
$1K |
| V2107 |
Spherocylinder 4.25d/12-2d |
72 |
71 |
$974.12 |