Supplier
Wal-Mart Stores, INC
Wal-Mart Stores, INC was paid $107K by Medicaid between Feb 2019 and Nov 2024, across 8 billing codes. Its largest line is V2025, Deluxe frame — 68% of everything it billed.
33Billing provider infoWAL-MART STORES, INC
CRESTWOOD, IL 60418
CRESTWOOD, IL 60418
33aNPI1144303702assigned 10/24/2006
33bProvider typeEyewear Supplier
28Total paid$107K
24GClaims5,693
24DCodes billed8
24AFirst – last monthFeb 2019 – Nov 2024
Compared with peers
Next to other Eyewear Supplier providers in Illinois
Rank by total paid#15 of 71
Median peer was paid$27K
This provider vs. median4.0×
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 GENTILE, NICOLE 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 | |
|---|---|---|---|
| 2019 | 469 | $22K | |
| 2020 | 17 | $153.00 | |
| 2021 | 498 | $10K | |
| 2022 | 1,197 | $19K | |
| 2023 | 1,940 | $30K | |
| 2024incomplete | 1,572 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2025 | Deluxe frame | 68% | 2,266 | 2,198 | $73K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 19% | 1,565 | 1,544 | $20K |
| V2020 | Frames, purchases | 4.5% | 192 | 188 | $5K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 4.4% | 267 | 249 | $5K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.8% | 1,078 | 1,051 | $3K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 1.2% | 76 | 70 | $1K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 12 | 12 | $182.50 |
| V2750 | Anti-reflective coating, per lens | 0% | 237 | 236 | $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 officialGENTILE, NICOLE (NPI COORDINATOR)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.