WAL-MART STORES EAST, LP

NPI: 1063593051 · MEXICO, MO 65265 · Optician · NPI assigned 10/18/2006

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official GENTILE, NICOLE controls 20+ related entities in our dataset. Read more

$9K

Total Medicaid Paid

590

Total Claims

590

Beneficiaries

Codes Billed

2018-01

First Month

2024-10

Last Month

Provider Details

Authorized Official	GENTILE, NICOLE (NPI COORDINATOR)
NPI Enumeration Date	10/18/2006

Other providers sharing the same authorized official: GENTILE, NICOLE

Provider	City	State	Total Paid
WAL-MART STORES TEXAS, LP	LAKE JACKSON	TX	$632K
WAL-MART STORES TEXAS, LP	BAYTOWN	TX	$595K
WAL-MART STORES TEXAS, LP	PASADENA	TX	$497K
WAL-MART STORES TEXAS, LP	ALVIN	TX	$483K
WAL-MART STORES EAST, LP	CINCINNATI	OH	$464K
WAL-MART STORES TEXAS, LP	BRYAN	TX	$440K
WAL-MART STORES TEXAS, LP	SAN ANTONIO	TX	$437K
WAL-MART STORES TEXAS, LP	HOUSTON	TX	$418K
WAL-MART STORES EAST, LP	MADISON	OH	$403K
WAL-MART STORES TEXAS, LP	EDINBURG	TX	$374K
WAL-MART STORES TEXAS, LP	CLEVELAND	TX	$363K
WAL-MART STORES TEXAS, LP	LIVINGSTON	TX	$318K
WAL-MART STORES EAST, LP	LOGAN	OH	$303K
WAL-MART STORES TEXAS, LP	HARLINGEN	TX	$301K
WAL-MART STORES TEXAS, LP	HOUSTON	TX	$300K
WAL-MART STORES TEXAS, LP	SPRING	TX	$286K
WAL-MART STORES EAST, LP	ATHENS	OH	$276K
WAL-MART STORES EAST, LP	NEWARK	OH	$260K
WAL-MART STORES EAST, LP	HAMILTON	OH	$246K
WAL-MART STORES TEXAS, LP	ROUND ROCK	TX	$240K

Code	Description	Claims	Beneficiaries	Total Paid
V2020	Frames, purchases	366	366	$7K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	175	175	$1K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	24	24	$188.50
V2781	Progressive lens, per lens	13	13	$87.00
92002		12	12	$50.00