Supplier
Wal-Mart Stores East, LP
Wal-Mart Stores East, LP was paid $84K by Medicaid between Jan 2024 and Nov 2024, across 8 billing codes. Its largest line is V2020, Frames, purchases — 35% of everything it billed.
33Billing provider infoWAL-MART STORES EAST, LP
SAINT PETERS, MO 63376
SAINT PETERS, MO 63376
33aNPI1073985404assigned 10/26/2015
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$84K
24GClaims3,623
24DCodes billed8
24AFirst – last monthJan 2024 – Nov 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Missouri
Rank by total paid#104 of 252
Median peer was paid$17K
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official CANONIC, KIMBERLY controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2024incomplete | 3,623 | $84K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 35% | 1,867 | 1,862 | $30K |
| 92002 | 23% | 415 | 415 | $19K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 20% | 991 | 984 | $17K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 9.7% | 174 | 174 | $8K |
| V2744 | Tint, photochromatic, per lens | 6.9% | 72 | 70 | $6K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.9% | 52 | 52 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.4% | 25 | 25 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 27 | 25 | $324.00 |
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 officialCANONIC, KIMBERLY (SENIOR DIRECTOR, ENROLLMENT)
Parent organizationWALMART INC
| Provider | Location | Paid |
|---|---|---|
| Walmart INC. | Independence, IA | $7K |
| Walmart INC. | Ankeny, IA | $3K |
| Walmart INC. | Windsor Heights, IA | $2K |
| Walmart INC. | Iowa City, IA | $2K |
| Walmart INC. | Centerville, IA | $2K |
| Walmart INC. | Denison, IA | $2K |
| Walmart INC. | West Burlington, IA | $1K |
| Walmart INC. | Monticello, AR | $1K |
| Walmart INC. | Mason City, IA | $919.50 |
| Wal-Mart Stores East LP | Kendall, FL | $301.97 |
| Walmart INC. | Waseca, MN | $242.86 |
| Wal-Mart Stores East LP | Hialeah, FL | $160.00 |
| Walmart INC. | Brooklyn Park, MN | $81.46 |
| Wal-Mart Stores East LP | Evansville, IN | $74.87 |
| Walmart INC. | Pine City, MN | $63.44 |
| Walmart INC. | Anamosa, IA | $41.46 |
| Wal-Mart Stores East LP | Jacksonville, FL | $28.39 |
| Walmart INC. | Shenandoah, IA | $22.95 |
| Wal-Mart Stores East LP | Ocala, FL | $1.12 |
| Walmart INC. | Fayetteville, AR | $0.07 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.