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: 1447568050 · EL PASO, TX 79938 · Optician · NPI assigned 09/16/2010

$131K
Total Medicaid Paid
4,293
Total Claims
4,242
Beneficiaries
7
Codes Billed
2020-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (MGR GOV CONTRACTING)
Parent OrganizationWAL-MART STORES, INC
NPI Enumeration Date09/16/2010

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 124 $3K
2021 1,057 $29K
2022 1,198 $36K
2023 1,216 $38K
2024 698 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2025 Deluxe frame 1,329 1,327 $89K
V2750 Anti-reflective coating, per lens 1,274 1,273 $17K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1,136 1,119 $17K
V2020 Frames, purchases 234 222 $4K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 238 235 $3K
V2799 Vision item or service, miscellaneous 70 54 $374.79
V2744 Tint, photochromatic, per lens 12 12 $336.48