Medicaid Provider Spending

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

WAL-MART STORES TEXAS LLC

NPI: 1962710574 · DENTON, TX 76201 · Optician · NPI assigned 09/16/2010

$20K
Total Medicaid Paid
1,209
Total Claims
1,175
Beneficiaries
3
Codes Billed
2020-11
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (MANAGER, GOV'T CONTRACTING)
Parent OrganizationWAL-MART STORES INC
NPI Enumeration Date09/16/2010

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 67 $869.00
2021 308 $4K
2022 324 $5K
2023 226 $4K
2024 284 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 754 737 $15K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 274 266 $5K
V2750 Anti-reflective coating, per lens 181 172 $474.01