Medicaid Provider Spending

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

WAL-MART STORES TEXAS, LLC

NPI: 1992804348 · BEEVILLE, TX 78102 · Optician · NPI assigned 09/22/2006

$145K
Total Medicaid Paid
2,895
Total Claims
2,885
Beneficiaries
6
Codes Billed
2020-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLEVINE, LAURA (MGR GOV CONTRACTING)
Parent OrganizationWAL-MART STORES INC
NPI Enumeration Date09/22/2006

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 128 $6K
2021 229 $13K
2022 1,123 $52K
2023 809 $41K
2024 606 $33K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2025 Deluxe frame 1,437 1,434 $124K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 995 988 $16K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 160 160 $2K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 86 86 $1K
V2020 Frames, purchases 85 85 $715.00
V2750 Anti-reflective coating, per lens 132 132 $564.91