Wal-Mart Stores East, LP
Wal-Mart Stores East, LP was paid $116K by Medicaid between May 2019 and Jul 2021, across 10 billing codes. Its largest line is V2020, Frames, purchases — 54% of everything it billed.
33Billing provider infoWAL-MART STORES EAST, LP
STOUGHTON, WI 53589
STOUGHTON, WI 53589
33aNPI1104361500assigned 12/21/2016
33bProvider typeOptician
28Total paid$116K
24GClaims6,735
24DCodes billed10
24AFirst – last monthMay 2019 – Jul 2021
Compared with peers
Next to other Optician providers in Wisconsin
Rank by total paid#8 of 40
Median peer was paid$8K
This provider vs. median14×
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 | |
|---|---|---|---|
| 2019 | 12 | $0.00 | |
| 2020 | 2,828 | $50K | |
| 2021 | 3,895 | $66K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 54% | 4,100 | 3,944 | $62K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 40% | 1,923 | 1,850 | $46K |
| V2781 | Progressive lens, per lens | 2.1% | 27 | 27 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.1% | 120 | 117 | $2K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.0% | 24 | 24 | $1K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 24 | 24 | $478.50 |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 14 | 12 | $246.50 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 94 | 86 | $132.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 160 | 152 | $0.00 |
| V2750 | Anti-reflective coating, per lens | 0% | 249 | 237 | $0.00 |
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 officialLAUVER, DEB (SPECIALIST PLAN ENROLLMENT)
Parent organizationWAL-MART STORES, INC.
| Provider | Location | Paid |
|---|---|---|
| Wal-Mart Stores, INC | Omaha, NE | $235K |
| Wal-Mart Stores, INC. | Sioux Center, IA | $172K |
| Wal-Mart Stores East LP | New Berlin, WI | $111K |
| Wal-Mart Stores East, LP | Whitewater, WI | $92K |
| Wal-Mart Stores East, LP | Warren, MI | $17K |
| Wal-Mart Stores East, LP | Lima, OH | $11K |
| Wal-Mart Stores East, LP | Hartford, WI | $476.00 |
| Wal-Mart Stores, INC | Council Bluffs, IA | $259.25 |
| Walmart INC. | Las Vegas, NV | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.