Medicaid Provider Spending

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

WAL-MART STORES TEXAS, LP

NPI: 1487746947 · THE WOODLANDS, TX 77382 · Optician · NPI assigned 09/29/2006

$32K
Total Medicaid Paid
748
Total Claims
743
Beneficiaries
4
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 Date09/29/2006

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 12 $211.00
2021 36 $2K
2022 205 $8K
2023 312 $12K
2024 183 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2025 Deluxe frame 410 409 $27K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 202 202 $4K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 77 74 $1K
V2750 Anti-reflective coating, per lens 59 58 $231.81