Medicaid Provider Spending

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

WAL-MART STORES TEXAS, LLC

NPI: 1639595655 · EDINBURG, TX 78542 · Optician · NPI assigned 03/14/2014

$64K
Total Medicaid Paid
1,477
Total Claims
1,462
Beneficiaries
5
Codes Billed
2020-12
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (DIR., HEALTHCARE CONTRACTING)
Parent OrganizationWAL-MART STORES, INC.
NPI Enumeration Date03/14/2014

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
2020 65 $2K
2021 328 $11K
2022 347 $15K
2023 592 $28K
2024 145 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2025 Deluxe frame 695 691 $53K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 486 479 $8K
V2750 Anti-reflective coating, per lens 194 193 $2K
V2020 Frames, purchases 72 71 $1K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 30 28 $335.11