Medicaid Provider Spending

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

WAL-MART STORES TEXAS, LLC

NPI: 1922107341 · AUSTIN, TX 78748 · Optician · NPI assigned 09/22/2006

$26K
Total Medicaid Paid
720
Total Claims
717
Beneficiaries
4
Codes Billed
2020-11
First Month
2024-02
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (MANAGER GOV CONTRACTING)
Parent OrganizationWAL-AMRT STORES INC
NPI Enumeration Date09/22/2006

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
2020 38 $759.00
2021 229 $6K
2022 159 $5K
2023 268 $13K
2024 26 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2025 Deluxe frame 214 212 $17K
V2750 Anti-reflective coating, per lens 246 246 $4K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 212 211 $3K
V2020 Frames, purchases 48 48 $2K