Medicaid Provider Spending

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

WAL-MART STORES TEXAS, LLC

NPI: 1801236385 · CROSS ROADS, TX 76227 · Optician · NPI assigned 06/28/2013

$1K
Total Medicaid Paid
78
Total Claims
78
Beneficiaries
2
Codes Billed
2022-03
First Month
2022-09
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (MGR. GOVERNMENT CONTRACTS)
Parent OrganizationWAL-MART STORES, INC
NPI Enumeration Date06/28/2013

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
2022 78 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 63 63 $988.00
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 15 15 $251.00