WAL-MART STORES TEXAS, LP
NPI: 1790867711
· CLEBURNE, TX 76033
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
184 |
$3K |
| 2021 |
1,496 |
$24K |
| 2022 |
1,262 |
$20K |
| 2023 |
1,354 |
$26K |
| 2024 |
866 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,509 |
2,466 |
$49K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,578 |
1,553 |
$31K |
| V2100 |
Lens spher single plano 4.00 |
276 |
269 |
$5K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
220 |
216 |
$4K |
| V2750 |
Anti-reflective coating |
567 |
553 |
$2K |
| V2744 |
Tint photochromatic lens/es |
12 |
12 |
$29.80 |