Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TN › Sweetwater › NPI 1194164996

Wal-Mart Stores East, LP

Wal-Mart Stores East, LP was paid $5K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is V2020, Frames, purchases — 76% of everything it billed.

33Billing provider infoWAL-MART STORES EAST, LP
SWEETWATER, TN 37874
33aNPI1194164996assigned 06/14/2013
33bProvider typeOptician
28Total paid$5K
24GClaims991
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optician providers in Tennessee

Rank by total paid#73 of 98
Median peer was paid$17K
This provider vs. median0.3×

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

$0$200$400$6002018201920202021202220232024
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
YearClaimsPaid
2018431$865.05
2019177$115.45
202039$0.00
2022100$1K
2023111$877.90
2024incomplete133$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2020 Frames, purchases 76% 644 623 $3K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 24% 54 54 $1K
V2750 Anti-reflective coating, per lens 0% 68 68 $0.00
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 0% 18 18 $0.00
V2784 Lens, polycarbonate or equal, any index, per lens 0% 127 122 $0.00
V2744 Tint, photochromatic, per lens 0% 37 37 $0.00
V2781 Progressive lens, per lens 0% 43 43 $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 officialLEVINE, LAURA (MGR GOV CONTRACTING)
Parent organizationWAL-MART STORES, INC
Same official

Other billing entities under LEVINE, LAURA

Full network →
ProviderLocationPaid
Sams West INCDenver, CO$9K
Sams West INCHonolulu, HI$6K
Sams West INCAurora, CO$1K
Sams East INCWinston Salem, NC$715.00
Sams West INCReno, NV$0.00
Sams East INCMetairie, LA$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.