Medicaid Provider Spending

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

WAL-MART STORES TEXAS, LP

NPI: 1578645487 · GRANBURY, TX 76048 · Optician · NPI assigned 10/19/2006

$21K
Total Medicaid Paid
1,379
Total Claims
1,343
Beneficiaries
5
Codes Billed
2020-10
First Month
2023-02
Last Month

Provider Details

Authorized OfficialEPPERSON, LINDA (NPI COORDINATOR)
NPI Enumeration Date10/19/2006

Related Entities

Other providers sharing the same authorized official: EPPERSON, LINDA

ProviderCityStateTotal Paid
WAL-MART STORES EAST, LP COLUMBUS OH $361K
WAL-MART STOREES EAST, LP WADSWORTH OH $339K
WAL-MART STORES EAST, LP LEWIS CENTER OH $276K
WAL-MART STORES EAST, LP OAKLAND MD $161K
WAL-MART STORES EAST, LP SALEM OH $107K
WAL-MART STORES EAST, LP LIMA OH $8K
WAL-MART STORES EAST, LP BUCKHANNON WV $7K
WAL-MART STORES EAST, LP PRINCETON WV $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 112 $2K
2021 988 $14K
2022 265 $4K
2023 14 $538.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 755 736 $13K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 367 357 $6K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 52 51 $843.04
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 26 25 $400.00
V2750 Anti-reflective coating, per lens 179 174 $286.22