WAL-MART STORES TEXAS, LP
NPI: 1447350434
· CORPUS CHRISTI, TX 78416
· 156FX1800X
$131K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
63 |
$4K |
| 2021 |
850 |
$34K |
| 2022 |
864 |
$36K |
| 2023 |
880 |
$35K |
| 2024 |
475 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
1,134 |
1,129 |
$103K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
960 |
954 |
$16K |
| V2020 |
Vision svcs frames purchases |
509 |
501 |
$9K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
167 |
167 |
$2K |
| V2750 |
Anti-reflective coating |
347 |
346 |
$850.48 |
| V2799 |
Misc vision item or service |
15 |
14 |
$204.47 |