Medicaid Provider Spending

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

WAL-MART STORES TEXAS, LLC

NPI: 1447668223 · FT. WORTH, TX 76114 · Optician · NPI assigned 07/24/2014

$38K
Total Medicaid Paid
2,513
Total Claims
2,482
Beneficiaries
4
Codes Billed
2020-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (DIR HEALTHCARE CONTRACTING)
Parent OrganizationWAL-MART STORES, INC
NPI Enumeration Date07/24/2014

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 133 $1K
2021 733 $8K
2022 757 $10K
2023 509 $10K
2024 381 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 1,181 1,167 $24K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 511 504 $10K
V2750 Anti-reflective coating, per lens 729 719 $2K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 92 92 $2K