Medicaid Provider Spending

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

WAL-MART STORES EAST. LP

NPI: 1164507943 · NORTH VERSAILLES, PA 15137 · Optician · NPI assigned 10/27/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

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

$159K
Total Medicaid Paid
4,773
Total Claims
4,147
Beneficiaries
6
Codes Billed
2020-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGENTILE, NICOLE (NPI COORDINATOR)
NPI Enumeration Date10/27/2006

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 354 $15K
2021 1,682 $51K
2022 1,119 $35K
2023 750 $24K
2024 868 $34K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1,217 1,066 $65K
V2020 Frames, purchases 2,668 2,297 $38K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 536 445 $33K
V2025 Deluxe frame 238 238 $14K
V2115 Lenticular, (myodisc), per lens, single vision 100 88 $8K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 14 13 $1K