Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1215106273 · DEARBORN, MI 48126 · Eyewear Supplier · NPI assigned 02/25/2008

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

Authorized official SIMMONS, DAVID controls 20+ related entities in our dataset. Read more

$106K
Total Medicaid Paid
7,133
Total Claims
7,133
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIMMONS, DAVID (NPI ASSOCIATE)
NPI Enumeration Date02/25/2008

Related Entities

Other providers sharing the same authorized official: SIMMONS, DAVID

ProviderCityStateTotal Paid
COMMUNITY HEALTH CENTERS OF BURLINGTON INC BURLINGTON VT $39.68M
WAL-MART STORES EAST, L.P LEWISBURG PA $1.28M
WAL-MART STORES EAST, LP WARREN OH $952K
WAL-MART STORES EAST, LP LANCASTER OH $446K
WAL-MART STORES EAST, L.P. FRANKLIN OH $301K
WAL-MART STORES EAST, LP ARBUTUS MD $287K
WAL-MART STORES EAST, LP DUNCANSVILLE PA $227K
WAL-MART STORES EAST, LP GLEN BURNIE MD $214K
WAL-MART STORES EAST, L.P. MILFORD OH $169K
WAL-MART STORES EAST, LP UNIONTOWN PA $162K
WAL-MART STORES TEXAS, LP GARLAND TX $159K
WAL-MART STORES EAST, LP STREETSBORO OH $135K
WAL-MART STORES EAST, L.P. WARREN PA $78K
WAL-MART STORES EAST, L.P. TAMAQUA PA $58K
WAL-MART STORES EAST, L.P. ELIZABETHVILLE PA $39K
WAL-MART STORES INC. FREEPORT IL $31K
WAL-MART STORES EAST, LP MONONA WI $20K
WAL-MART STORES, INC CRYSTAL LAKE IL $20K
WAL-MART STORES EAST, LP BERNALILLO NM $16K
WAL-MART STORES EAST, L.P. MARYVILLE TN $15K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,039 $17K
2020 253 $5K
2021 1,370 $25K
2022 1,706 $28K
2023 1,306 $20K
2024 1,459 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 3,776 3,776 $60K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1,744 1,744 $24K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1,161 1,161 $19K
V2784 Lens, polycarbonate or equal, any index, per lens 262 262 $2K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 15 15 $782.50
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 36 36 $396.02
V2750 Anti-reflective coating, per lens 139 139 $0.00