Medicaid Provider Spending

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

WAL-MART STORES TEXAS, LLC

NPI: 1558423657 · BAY CITY, TX 77414 · Optician · NPI assigned 12/14/2006

$14K
Total Medicaid Paid
338
Total Claims
338
Beneficiaries
5
Codes Billed
2021-03
First Month
2024-03
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (MGR GOV CONTRACTING)
Parent OrganizationWAL-MART STORES INC
NPI Enumeration Date12/14/2006

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
2021 154 $6K
2022 64 $3K
2023 96 $4K
2024 24 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2025 Deluxe frame 177 177 $12K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 63 63 $1K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 59 59 $943.37
V2020 Frames, purchases 27 27 $503.00
V2750 Anti-reflective coating, per lens 12 12 $67.39