WAL-MART STORES TEXAS, LP
NPI: 1851491716
· CLEVELAND, TX 77327
· 156FX1800X
$363K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
483 |
$15K |
| 2021 |
2,171 |
$58K |
| 2022 |
2,692 |
$69K |
| 2023 |
4,333 |
$129K |
| 2024 |
3,000 |
$92K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
3,633 |
3,625 |
$240K |
| V2100 |
Lens spher single plano 4.00 |
2,559 |
2,543 |
$49K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,945 |
1,915 |
$31K |
| V2020 |
Vision svcs frames purchases |
1,472 |
1,432 |
$23K |
| V2750 |
Anti-reflective coating |
1,757 |
1,743 |
$8K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
344 |
339 |
$5K |
| V2784 |
Lens polycarb or equal |
432 |
423 |
$3K |
| V2744 |
Tint photochromatic lens/es |
368 |
367 |
$3K |
| V2799 |
Misc vision item or service |
169 |
166 |
$458.36 |