WAL-MART STORES TEXAS, LP
NPI: 1588769210
· EDINBURG, TX 78539
· 156FX1800X
$374K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
338 |
$11K |
| 2021 |
2,456 |
$78K |
| 2022 |
3,473 |
$108K |
| 2023 |
3,740 |
$112K |
| 2024 |
2,038 |
$66K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
3,287 |
3,278 |
$251K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
2,658 |
2,630 |
$42K |
| V2750 |
Anti-reflective coating |
1,893 |
1,887 |
$19K |
| V2100 |
Lens spher single plano 4.00 |
1,110 |
1,089 |
$18K |
| V2020 |
Vision svcs frames purchases |
1,158 |
1,132 |
$17K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
795 |
788 |
$11K |
| V2744 |
Tint photochromatic lens/es |
317 |
315 |
$8K |
| V2784 |
Lens polycarb or equal |
625 |
620 |
$6K |
| V2107 |
Spherocylinder 4.25d/12-2d |
50 |
49 |
$769.48 |
| V2799 |
Misc vision item or service |
152 |
140 |
$741.30 |