WAL-MART STORES TEXAS, LP
NPI: 1861590101
· ROUND ROCK, TX 78664
· 156FX1800X
$240K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
372 |
$13K |
| 2021 |
2,160 |
$72K |
| 2022 |
1,657 |
$60K |
| 2023 |
1,638 |
$64K |
| 2024 |
686 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,164 |
1,558 |
$124K |
| V2025 |
Eyeglasses delux frames |
971 |
963 |
$64K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,526 |
1,509 |
$27K |
| V2750 |
Anti-reflective coating |
1,107 |
1,092 |
$15K |
| V2100 |
Lens spher single plano 4.00 |
413 |
406 |
$5K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
210 |
210 |
$3K |
| V2744 |
Tint photochromatic lens/es |
96 |
94 |
$2K |
| V2784 |
Lens polycarb or equal |
26 |
26 |
$238.31 |