WAL-MART STORES TEXAS, LP
NPI: 1841396157
· BRYAN, TX 77802
· 156FX1800X
$440K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
302 |
$7K |
| 2021 |
3,156 |
$101K |
| 2022 |
4,038 |
$126K |
| 2023 |
3,910 |
$123K |
| 2024 |
2,518 |
$83K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
2,735 |
2,730 |
$203K |
| V2020 |
Vision svcs frames purchases |
2,453 |
2,172 |
$94K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
3,044 |
2,998 |
$54K |
| V2750 |
Anti-reflective coating |
2,772 |
2,724 |
$44K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
1,067 |
1,054 |
$17K |
| V2100 |
Lens spher single plano 4.00 |
724 |
715 |
$13K |
| V2744 |
Tint photochromatic lens/es |
312 |
304 |
$8K |
| V2784 |
Lens polycarb or equal |
468 |
460 |
$5K |
| V2799 |
Misc vision item or service |
260 |
257 |
$1K |
| V2105 |
Spherocylinder 4.00d/4.25-6d |
89 |
87 |
$1K |