Medicaid Provider Spending

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

WAL-MART STORES TEXAS, LP

NPI: 1467533810 · TYLER, TX 75703 · Optician · NPI assigned 10/18/2006

$2K
Total Medicaid Paid
209
Total Claims
209
Beneficiaries
3
Codes Billed
2021-03
First Month
2024-10
Last Month

Provider Details

Authorized OfficialEPPERSON, LINDA (NPI COORDINATOR)
NPI Enumeration Date10/18/2006

Related Entities

Other providers sharing the same authorized official: EPPERSON, LINDA

ProviderCityStateTotal Paid
WAL-MART STORES EAST, LP COLUMBUS OH $361K
WAL-MART STOREES EAST, LP WADSWORTH OH $339K
WAL-MART STORES EAST, LP LEWIS CENTER OH $276K
WAL-MART STORES EAST, LP OAKLAND MD $161K
WAL-MART STORES EAST, LP SALEM OH $107K
WAL-MART STORES EAST, LP LIMA OH $8K
WAL-MART STORES EAST, LP BUCKHANNON WV $7K
WAL-MART STORES EAST, LP PRINCETON WV $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 66 $707.63
2022 37 $269.66
2023 93 $993.00
2024 13 $85.40

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2750 Anti-reflective coating, per lens 139 139 $893.07
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 43 43 $684.88
V2020 Frames, purchases 27 27 $477.74