Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › LAREDO › WALMART STORES TEXAS, LLC

WALMART STORES TEXAS, LLC

NPI: 1679664858 · LAREDO, TX 78043 · Optician · NPI assigned 09/27/2006

$79K
Total Medicaid Paid
1,877
Total Claims
1,853
Beneficiaries
6
Codes Billed
2020-11
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (MANAGER GOV CONTRACTING)
Parent OrganizationWAL-MART STORES INC
NPI Enumeration Date09/27/2006

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 153 $6K
2021 543 $19K
2022 393 $18K
2023 498 $23K
2024 290 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2025 Deluxe frame 872 869 $64K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 696 678 $11K
V2020 Frames, purchases 177 174 $3K
V2750 Anti-reflective coating, per lens 95 95 $774.34
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 25 25 $353.05
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 12 12 $217.00