Medicaid Provider Spending

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

WAL-MART STORES TEXAS LLC

NPI: 1710260971 · CORPUS CHRISTI, TX 78414 · Optician · NPI assigned 09/23/2011

$72K
Total Medicaid Paid
1,661
Total Claims
1,649
Beneficiaries
6
Codes Billed
2021-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (MANAGER GOV CONTRACTING)
Parent OrganizationWAL-MART STORES INC
NPI Enumeration Date09/23/2011

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
2021 93 $6K
2022 352 $19K
2023 708 $29K
2024 508 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2025 Deluxe frame 749 745 $62K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 519 513 $8K
V2750 Anti-reflective coating, per lens 352 351 $1K
V2020 Frames, purchases 16 15 $212.00
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 13 13 $184.26
V2784 Lens, polycarbonate or equal, any index, per lens 12 12 $108.00