WAL-MART STORES TEXAS, LP
NPI: 1972694925
· COLLEGE STATION, TX 77845
· 156FX1800X
$213K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
397 |
$9K |
| 2021 |
1,196 |
$38K |
| 2022 |
1,952 |
$65K |
| 2023 |
2,118 |
$66K |
| 2024 |
989 |
$34K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
1,140 |
1,126 |
$77K |
| V2020 |
Vision svcs frames purchases |
1,596 |
1,500 |
$66K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,719 |
1,675 |
$31K |
| V2750 |
Anti-reflective coating |
1,329 |
1,315 |
$25K |
| V2100 |
Lens spher single plano 4.00 |
352 |
347 |
$6K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
223 |
219 |
$4K |
| V2784 |
Lens polycarb or equal |
233 |
225 |
$3K |
| V2744 |
Tint photochromatic lens/es |
46 |
46 |
$1K |
| V2799 |
Misc vision item or service |
14 |
13 |
$66.00 |