Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Wal-Mart Stores Texas, LLC

Wal-Mart Stores Texas, LLC was paid $1K by Medicaid between Apr 2022 and Apr 2023, across 2 billing codes. Its largest line is V2103, Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens — 51% of everything it billed.

33Billing provider infoWAL-MART STORES TEXAS, LLC
TYLER, TX 75702
33aNPI1972041374assigned 02/06/2017
33bProvider typeOptician
28Total paid$1K
24GClaims82
24DCodes billed2
24AFirst – last monthApr 2022 – Apr 2023
Compared with peers

Next to other Optician providers in Texas

Rank by total paid#303 of 320
Median peer was paid$55K
This provider vs. median0.0×

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

$0$200$400$6002018201920202021202220232024
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
YearClaimsPaid
202242$580.00
202340$649.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 51% 38 36 $625.00
V2020 Frames, purchases 49% 44 41 $604.00

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 officialFISHER, KYLEE (MANAGER)
Parent organizationWAL-MART STORES, INC
Same official

Other billing entities under FISHER, KYLEE

Full network →
ProviderLocationPaid
Wal-Mart Stores Texas, LLCGrand Prairie, TX$128K
Wal-Mart Stores Texas, LLCKaty, TX$122K
Wal-Mart Stores Texas, LLCAnna, TX$27K
Wal-Mart Stores Texas, LLCCastroville, TX$2K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.