Wal-Mart Stores Texas, LLC
Wal-Mart Stores Texas, LLC was paid $229K by Medicaid between Oct 2020 and Dec 2024, across 10 billing codes. Its largest line is V2020, Frames, purchases — 46% of everything it billed.
33Billing provider infoWAL-MART STORES TEXAS, LLC
FT WORTH, TX 76111
FT WORTH, TX 76111
33aNPI1669555272assigned 10/24/2006
33bProvider typeOptician
28Total paid$229K
24GClaims14,910
24DCodes billed10
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Optician providers in Texas
Rank by total paid#57 of 320
Median peer was paid$55K
This provider vs. median4.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 810 | $12K | |
| 2021 | 4,419 | $66K | |
| 2022 | 4,036 | $61K | |
| 2023 | 3,411 | $55K | |
| 2024incomplete | 2,234 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 46% | 5,785 | 5,753 | $106K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 31% | 3,647 | 3,629 | $71K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 11% | 1,422 | 1,415 | $25K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 6.3% | 909 | 903 | $14K |
| V2750 | Anti-reflective coating, per lens | 3.0% | 2,583 | 2,571 | $7K |
| V2105 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens | 1.4% | 187 | 187 | $3K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 78 | 77 | $1K |
| V2744 | Tint, photochromatic, per lens | <1% | 145 | 144 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 42 | 42 | $427.00 |
| V2799 | Vision item or service, miscellaneous | 0% | 112 | 110 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLEVINE, LAURA (MANAGER, GOV'T CONTRACTING)
Parent organizationWAL-MART STORES INC
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.