Medicaid Provider Spending

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

WAL-MART STORES TEXAS, LLC

NPI: 1790125581 · VICTORIA, TX 77901 · Optician · NPI assigned 06/26/2013

$3K
Total Medicaid Paid
71
Total Claims
71
Beneficiaries
2
Codes Billed
2021-01
First Month
2022-07
Last Month

Provider Details

Authorized OfficialPOWERS, AMY (SPECIALIST, PLAN ENROLLMENT)
Parent OrganizationWAL-MART STORES, INC
NPI Enumeration Date06/26/2013

Related Entities

Other providers sharing the same authorized official: POWERS, AMY

ProviderCityStateTotal Paid
WAL-MART STORES TEXAS, LLC SAN ANTONIO TX $109K
WAL-MART STORES INC BLOOMINGDALE IL $62K
WAL-MART STORES TEXAS LLC FORT WORTH TX $59K
WAL-MART STORES INC CHICAGO IL $19K
WAL-MART STORES EAST LP NEWPORT NEWS VA $6K
WAL-MART STORES TEXAS, LLC HELOTES TX $1K
WAL-MART STORES TEXAS LLC LUCAS TX $773.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 47 $2K
2022 24 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2025 Deluxe frame 53 53 $3K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 18 18 $312.57