Wal-Mart Stores Texas, LLC
Wal-Mart Stores Texas, LLC was paid $100K by Medicaid between Oct 2020 and Nov 2024, across 9 billing codes. Its largest line is V2020, Frames, purchases — 43% of everything it billed.
33Billing provider infoWAL-MART STORES TEXAS, LLC
ROYSE CITY, TX 75189
ROYSE CITY, TX 75189
33aNPI1922483155assigned 07/29/2015
33bProvider typeOptician
28Total paid$100K
24GClaims5,091
24DCodes billed9
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers
Next to other Optician providers in Texas
Rank by total paid#115 of 320
Median peer was paid$55K
This provider vs. median1.8×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 200 | $4K | |
| 2021 | 1,242 | $26K | |
| 2022 | 1,382 | $26K | |
| 2023 | 1,443 | $30K | |
| 2024incomplete | 824 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 43% | 2,154 | 1,920 | $43K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 25% | 1,526 | 1,354 | $24K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 13% | 105 | 102 | $13K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 11% | 111 | 109 | $11K |
| V2750 | Anti-reflective coating, per lens | 3.4% | 642 | 589 | $3K |
| 92015 | Determination of refractive state | 2.1% | 401 | 396 | $2K |
| V2025 | Deluxe frame | 1.7% | 74 | 47 | $2K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 44 | 34 | $595.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 34 | 31 | $572.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLEVINE, LAURA (DIR HEALTHCARE ENROLLMENT&CONTRACT)
Parent organizationWAL-MART STORES, INC.
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.