WAL-MART STORES TEXAS, LP
NPI: 1992875637
· BROWNWOOD, TX 76801
· 156FX1800X
$228K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$297.30 |
| 2019 |
14 |
$334.00 |
| 2020 |
323 |
$10K |
| 2021 |
1,912 |
$57K |
| 2022 |
1,854 |
$68K |
| 2023 |
1,486 |
$52K |
| 2024 |
1,089 |
$42K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
2,087 |
2,078 |
$155K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,934 |
1,913 |
$32K |
| V2020 |
Vision svcs frames purchases |
1,070 |
1,036 |
$17K |
| V2100 |
Lens spher single plano 4.00 |
654 |
642 |
$9K |
| V2750 |
Anti-reflective coating |
612 |
602 |
$8K |
| V2744 |
Tint photochromatic lens/es |
147 |
146 |
$4K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
157 |
154 |
$2K |
| V2784 |
Lens polycarb or equal |
29 |
28 |
$244.47 |