Medicaid Provider Spending

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

WAL-MART STORES TEXAS, LLC

NPI: 1982098471 · TEMPLE, TX 76502 · Optician · NPI assigned 03/24/2015

$3K
Total Medicaid Paid
65
Total Claims
64
Beneficiaries
4
Codes Billed
2022-11
First Month
2024-06
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (DIRECTOR, HEALTHCARE CONTRACTING AN)
Parent OrganizationWAL-MART STORES, INC.
NPI Enumeration Date03/24/2015

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
2022 15 $610.00
2023 25 $827.97
2024 25 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2025 Deluxe frame 26 26 $2K
V2020 Frames, purchases 15 14 $610.00
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 12 12 $226.08
V2750 Anti-reflective coating, per lens 12 12 $142.56