Medicaid Provider Spending

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

WAL-MART STORES TEXAS, LLC

NPI: 1528561685 · FORT WORTH, TX 76244 · Optician · NPI assigned 03/15/2018

$2K
Total Medicaid Paid
112
Total Claims
112
Beneficiaries
3
Codes Billed
2022-12
First Month
2024-09
Last Month

Provider Details

Authorized OfficialGARVEY, MICHELE (SR. DIR. HEALTH & WELLNESS)
NPI Enumeration Date03/15/2018

Related Entities

Other providers sharing the same authorized official: GARVEY, MICHELE

ProviderCityStateTotal Paid
WALMART INC. HOMEWOOD IL $28K
WAL-MART STORES EAST, LP. HARRISBURG PA $18K
WALMART INC. NORTH LAS VEGAS NV $15K
WALMART INC. RAPID CITY SD $8K
WAL-MART STORES EAST, LP. LAS CRUCES NM $4K
WAL-MART STORES EAST, LP. ALBUQUERQUE NM $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 12 $210.00
2023 55 $938.50
2024 45 $679.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 87 87 $2K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 13 13 $217.50
V2750 Anti-reflective coating, per lens 12 12 $0.00