Medicaid Provider Spending

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

WAL-MART STORES TEXAS, LLC

NPI: 1508257312 · KYLE, TX 78640 · Optician · NPI assigned 02/16/2015

$40K
Total Medicaid Paid
908
Total Claims
709
Beneficiaries
5
Codes Billed
2021-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (DIRECTOR OF HEALTHCARE CONTRACTING)
Parent OrganizationWAL-MART STORES, INC.
NPI Enumeration Date02/16/2015

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
2021 503 $22K
2022 380 $17K
2023 12 $800.98
2024 13 $283.62

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 550 352 $34K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 182 181 $2K
V2025 Deluxe frame 24 24 $2K
V2750 Anti-reflective coating, per lens 85 85 $1K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 67 67 $520.50