WAL-MART STORES TEXAS, LP
NPI: 1588753461
· SPRING, TX 77379
· 156FX1800X
$255K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
364 |
$11K |
| 2021 |
1,965 |
$59K |
| 2022 |
2,172 |
$62K |
| 2023 |
2,090 |
$70K |
| 2024 |
1,657 |
$54K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
2,491 |
2,482 |
$179K |
| V2100 |
Lens spher single plano 4.00 |
1,462 |
1,446 |
$28K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,484 |
1,455 |
$24K |
| V2020 |
Vision svcs frames purchases |
890 |
869 |
$16K |
| V2750 |
Anti-reflective coating |
1,600 |
1,584 |
$5K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
234 |
232 |
$3K |
| V2784 |
Lens polycarb or equal |
49 |
49 |
$477.05 |
| V2744 |
Tint photochromatic lens/es |
38 |
38 |
$220.01 |