Wal-Mart Stores East, LP
Wal-Mart Stores East, LP was paid $9K by Medicaid between Mar 2018 and Aug 2024, across 4 billing codes. Its largest line is V2020, Frames, purchases — 57% of everything it billed.
33Billing provider infoWAL-MART STORES EAST, LP
HIGH RIDGE, MO 63049
HIGH RIDGE, MO 63049
33aNPI1326419946assigned 10/08/2015
33bProvider typeOptician
28Total paid$9K
24GClaims375
24DCodes billed4
24AFirst – last monthMar 2018 – Aug 2024
Compared with peers
Next to other Optician providers in Missouri
Rank by total paid#65 of 87
Median peer was paid$26K
This provider vs. median0.4×
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
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 | 12 | $224.00 | |
| 2019 | 66 | $962.00 | |
| 2020 | 31 | $460.20 | |
| 2021 | 31 | $1K | |
| 2022 | 75 | $1K | |
| 2023 | 89 | $4K | |
| 2024incomplete | 71 | $528.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 57% | 247 | 247 | $5K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 33% | 42 | 42 | $3K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 6.0% | 47 | 47 | $544.50 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 4.1% | 39 | 39 | $368.50 |
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 (DIR HEALTHCARE AND ENROLLMENT)
| Provider | Location | Paid |
|---|---|---|
| Sams West INC | Denver, CO | $9K |
| Sams West INC | Honolulu, HI | $6K |
| Sams West INC | Aurora, CO | $1K |
| Sams East INC | Winston Salem, NC | $715.00 |
| Sams West INC | Reno, NV | $0.00 |
| Sams East INC | Metairie, LA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.