Medicaid Provider Spending

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

WAL-MART STORES TEXAS, LLC

NPI: 1952486268 · MOUNT PLEASANT, TX 75455 · Optician · NPI assigned 10/26/2006

$8K
Total Medicaid Paid
495
Total Claims
409
Beneficiaries
3
Codes Billed
2020-11
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (MANAGER GOV CONTRACTING)
Parent OrganizationWAL-MART STORES INC
NPI Enumeration Date10/26/2006

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 29 $327.00
2021 120 $2K
2022 270 $3K
2023 38 $1K
2024 38 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 359 291 $4K
V2025 Deluxe frame 74 66 $3K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 62 52 $611.73