Medicaid Provider Spending

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

WAL-MART STORES TEXAS, LLC

NPI: 1992243471 · ANNA, TX 75409 · Optician · NPI assigned 02/06/2017

$27K
Total Medicaid Paid
1,593
Total Claims
1,562
Beneficiaries
4
Codes Billed
2020-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFISHER, KYLEE (MANAGER)
Parent OrganizationWAL-MART STORES, INC
NPI Enumeration Date02/06/2017

Related Entities

Other providers sharing the same authorized official: FISHER, KYLEE

ProviderCityStateTotal Paid
WAL-MART STORES TEXAS, LLC GRAND PRAIRIE TX $128K
WAL-MART STORES TEXAS, LLC KATY TX $122K
WAL-MART STORES TEXAS, LLC CASTROVILLE TX $2K
WAL-MART STORES TEXAS, LLC TYLER TX $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 65 $1K
2021 504 $9K
2022 256 $4K
2023 447 $7K
2024 321 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 883 864 $17K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 502 494 $9K
V2750 Anti-reflective coating, per lens 196 192 $1K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 12 12 $223.00