Supplier
Walmart #2067
Walmart #2067 was paid $98K by Medicaid between Jan 2018 and Oct 2018, across 5 billing codes. Its largest line is V2020, Frames, purchases — 68% of everything it billed.
33Billing provider infoWALMART #2067
MAYAGUEZ, PR 00680
MAYAGUEZ, PR 00680
33aNPI1003942467assigned 02/27/2007
33bProvider typeEyewear Supplier
28Total paid$98K
24GClaims4,694
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers
Next to other Eyewear Supplier providers in Puerto Rico
Rank by total paid#7 of 39
Median peer was paid$20K
This provider vs. median4.9×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,694 | $98K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 68% | 1,989 | 956 | $67K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 21% | 1,303 | 645 | $21K |
| V2750 | Anti-reflective coating, per lens | 9.2% | 1,049 | 501 | $9K |
| V2744 | Tint, photochromatic, per lens | 1.0% | 198 | 96 | $1K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 155 | 71 | $841.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHERNANDEZ, JORGE (DIRECTOR OF SPECIALTY DIVISION)
| Provider | Location | Paid |
|---|---|---|
| Gwinnett Physician Group, LLC | Lawrenceville, GA | $8.28M |
| North Atlanta Professional Services LLC | Atlanta, GA | $849K |
| Georgia Surgical Professional Services, LLC | Atlanta, GA | $709K |
| Walmart #2501 | Bayamon, PR | $59K |
| Walmart #2085 | Isabela, PR | $37K |
| Pulmonary Medicine Associates, P.A. | Ocoee, FL | $4K |
| NSH Cancer Institute Professional Services G, LLC | Atlanta, GA | $3K |
| Jorge L Hernandez MD PA | Bradenton, FL | $3K |
| Walmart #1854 | Hatillo, PR | $999.90 |
| Northside Hospital, INC. | Atlanta, GA | $953.17 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.