Supplier
Wal-Mart Stores, INC.
Wal-Mart Stores, INC. was paid $5.74M by Medicaid between Jan 2018 and Nov 2024, across 30 billing codes. Its largest line is V2025, Deluxe frame — 50% of everything it billed.
33Billing provider infoWAL-MART STORES, INC.
KING OF PRUSSIA, PA 19406
KING OF PRUSSIA, PA 19406
33aNPI1225286511assigned 08/29/2008
33bProvider typeEyewear Supplier
28Total paid$5.74M
24GClaims157,009
24DCodes billed30
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Eyewear Supplier providers in Pennsylvania
Rank by total paid#1 of 129
Median peer was paid$96K
This provider vs. median60×
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 SUTTON, SABRINA controls 13+ 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 | |
|---|---|---|---|
| 2018 | 2,768 | $100K | |
| 2019 | 2,972 | $42K | |
| 2020 | 9,444 | $301K | |
| 2021 | 35,288 | $1.29M | |
| 2022 | 46,262 | $1.82M | |
| 2023 | 40,459 | $1.49M | |
| 2024incomplete | 19,816 | $702K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2025 | Deluxe frame | 50% | 47,596 | 41,390 | $2.85M |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 8.8% | 29,987 | 26,597 | $505K |
| V2781 | Progressive lens, per lens | 7.3% | 5,073 | 4,146 | $417K |
| V2520 | Contact lens, hydrophilic, spherical, per lens | 4.7% | 4,165 | 3,708 | $268K |
| V2744 | Tint, photochromatic, per lens | 4.0% | 4,139 | 3,599 | $227K |
| V2521 | Contact lens, hydrophilic, toric, or prism ballast, per lens | 3.4% | 3,081 | 2,733 | $198K |
| V2020 | Frames, purchases | 3.4% | 7,898 | 7,296 | $197K |
| V2523 | Contact lens, hydrophilic, extended wear, per lens | 2.9% | 2,607 | 2,208 | $164K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.8% | 4,652 | 4,042 | $163K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 2.4% | 3,025 | 3,023 | $136K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.2% | 8,851 | 7,948 | $124K |
| V2750 | Anti-reflective coating, per lens | 2.1% | 10,114 | 8,958 | $119K |
18 more codes
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.6% | 7,895 | $91K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 1.4% | 1,722 | $78K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 1.1% | 4,384 | $61K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 3,504 | $52K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 990 | $26K |
| S0592 | Comprehensive contact lens evaluation | <1% | 622 | $19K |
| V2500 | Contact lens, pmma, spherical, per lens | <1% | 261 | $16K |
| V2108 | Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 879 | $12K |
| V2105 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens | <1% | 527 | $7K |
| V2111 | Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens | <1% | 308 | $5K |
| V2101 | Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens | <1% | 247 | $3K |
| V2204 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 107 | $3K |
| V2755 | U-v lens, per lens | <1% | 167 | $1K |
| V2207 | Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens | <1% | 17 | $537.50 |
| V2783 | Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens | <1% | 883 | $396.00 |
| V2109 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens | <1% | 13 | $160.00 |
| V2799 | Vision item or service, miscellaneous | <1% | 2,155 | $64.00 |
| V2702 | Deluxe lens feature | 0% | 1,140 | $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 officialSUTTON, SABRINA (NPI ASSOCIATE)
| Provider | Location | Paid |
|---|---|---|
| Wal-Mart Stores, INC. | Omaha, NE | $207K |
| Wal-Mart Stores East, LP | Cincinnati(evendale), OH | $176K |
| Wal-Mart Stores East, LP | New Boston, OH | $149K |
| Sam's Club Optical | Deptford, NJ | $54K |
| Wal-Mart Stores, INC. | Oswego, IL | $43K |
| Wal-Mart Stores INC. | Galesburg, IL | $33K |
| Wal-Mart Stores East, LP | Shreveport, LA | $28K |
| Wal-Mart Stores, INC. | Lockport, IL | $26K |
| Wal-Mart Stores East, LP | Waveland, MS | $22K |
| Wal-Mart Stores, INC. | Lincoln, NE | $9K |
| Wal-Mart Stores, INC. | Ruidoso Downs, NM | $5K |
| Wal-Mart Stores, INC. | Rantoul, IL | $971.00 |
| Wal-Mart Stores East, LP | Breaux Bridge, LA | $785.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.