Medicaid Provider Spending

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

WAL-MART STORES TEXAS, LLC

NPI: 1518381185 · DALLAS, TX 75249 · Optician · NPI assigned 02/18/2014

$44K
Total Medicaid Paid
2,259
Total Claims
2,213
Beneficiaries
5
Codes Billed
2020-11
First Month
2024-09
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (DIRECTOR OF HEALTHCARE CONTRACTING)
Parent OrganizationWAL-MART STORES, INC.
NPI Enumeration Date02/18/2014

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 98 $2K
2021 764 $18K
2022 670 $11K
2023 518 $9K
2024 209 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 1,281 1,256 $31K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 640 627 $10K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 70 70 $1K
V2750 Anti-reflective coating, per lens 229 221 $1K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 39 39 $575.00