Medicaid Provider Spending

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

WAL-MART STORES TEXAS LLC

NPI: 1972751261 · RICHMOND, TX 77406 · Optician · NPI assigned 08/29/2008

$41K
Total Medicaid Paid
1,447
Total Claims
1,438
Beneficiaries
5
Codes Billed
2020-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (MGR GOV CONTRACTING)
Parent OrganizationWAL-MART STORES INC
NPI Enumeration Date08/29/2008

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 $1K
2021 338 $10K
2022 416 $11K
2023 352 $10K
2024 274 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2025 Deluxe frame 463 462 $32K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 219 218 $4K
V2750 Anti-reflective coating, per lens 623 617 $2K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 129 128 $2K
V2020 Frames, purchases 13 13 $229.00