WAL-MART STORES TEXAS, LP

NPI: 1891876298 · PALESTINE, TX 75801 · Orthoptist · NPI assigned 10/18/2006

$134K

Total Medicaid Paid

4,517

Total Claims

4,459

Beneficiaries

Codes Billed

2020-11

First Month

2024-11

Last Month

Provider Details

Authorized Official	EPPERSON, LINDA (NPI COORDINATOR)
NPI Enumeration Date	10/18/2006

Other providers sharing the same authorized official: EPPERSON, LINDA

Provider	City	State	Total Paid
WAL-MART STORES EAST, LP	COLUMBUS	OH	$361K
WAL-MART STOREES EAST, LP	WADSWORTH	OH	$339K
WAL-MART STORES EAST, LP	LEWIS CENTER	OH	$276K
WAL-MART STORES EAST, LP	OAKLAND	MD	$161K
WAL-MART STORES EAST, LP	SALEM	OH	$107K
WAL-MART STORES EAST, LP	LIMA	OH	$8K
WAL-MART STORES EAST, LP	BUCKHANNON	WV	$7K
WAL-MART STORES EAST, LP	PRINCETON	WV	$1K

Code	Description	Claims	Beneficiaries	Total Paid
V2025	Deluxe frame	1,293	1,291	$86K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	1,747	1,725	$28K
V2020	Frames, purchases	1,103	1,071	$16K
V2750	Anti-reflective coating, per lens	194	194	$2K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	124	124	$1K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	56	54	$662.81