WAL-MART STORES TEXAS, LP
NPI: 1962594739
· ROUND ROCK, TX 78664
· 156FX1800X
$323K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
194 |
$8K |
| 2021 |
2,460 |
$98K |
| 2022 |
1,972 |
$75K |
| 2023 |
1,784 |
$81K |
| 2024 |
1,278 |
$61K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,551 |
1,758 |
$157K |
| V2025 |
Eyeglasses delux frames |
1,271 |
1,266 |
$99K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,747 |
1,731 |
$36K |
| V2750 |
Anti-reflective coating |
1,220 |
1,210 |
$17K |
| V2100 |
Lens spher single plano 4.00 |
467 |
465 |
$7K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
354 |
349 |
$6K |
| V2784 |
Lens polycarb or equal |
65 |
63 |
$710.30 |
| V2744 |
Tint photochromatic lens/es |
13 |
12 |
$333.98 |