Medicaid Provider Spending

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

WAL-MART STORES TEXAS LP

NPI: 1871868737 · RED OAK, TX 75154 · Optician · NPI assigned 03/12/2012

$6K
Total Medicaid Paid
339
Total Claims
331
Beneficiaries
3
Codes Billed
2021-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (MANAGER GOV CONTRACTING)
Parent OrganizationWAL-MART STORES INC
NPI Enumeration Date03/12/2012

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
2021 111 $3K
2022 115 $2K
2023 98 $2K
2024 15 $286.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 270 263 $6K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 40 40 $568.00
V2750 Anti-reflective coating, per lens 29 28 $52.20