Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WAL-MART STORES EAST, LP

NPI: 1104908680 · GREENVILLE, PA 16125 · Optician · NPI assigned 10/20/2006

$14K
Total Medicaid Paid
466
Total Claims
389
Beneficiaries
3
Codes Billed
2020-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGENTILE, NICOLE (NPI COORDINATOR)
NPI Enumeration Date10/20/2006

Related Entities

Other providers sharing the same authorized official: GENTILE, NICOLE

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 19 $357.80
2021 257 $6K
2022 30 $630.68
2024 160 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2025 Deluxe frame 108 108 $5K
V2020 Frames, purchases 239 190 $5K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 119 91 $3K