Wal-Mart Stores East, LP
Wal-Mart Stores East, LP was paid $88K by Medicaid between Sep 2020 and Dec 2024, across 8 billing codes. Its largest line is V2020, Frames, purchases — 53% of everything it billed.
33Billing provider infoWAL-MART STORES EAST, LP
PHILADELPHIA, PA 19154
PHILADELPHIA, PA 19154
33aNPI1366858607assigned 07/08/2014
33bProvider typeOptician
28Total paid$88K
24GClaims2,944
24DCodes billed8
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Optician providers in Pennsylvania
Rank by total paid#60 of 140
Median peer was paid$57K
This provider vs. median1.5×
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 | |
|---|---|---|---|
| 2020 | 316 | $9K | |
| 2021 | 672 | $21K | |
| 2022 | 844 | $26K | |
| 2023 | 699 | $21K | |
| 2024incomplete | 413 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 53% | 1,457 | 970 | $46K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 29% | 920 | 411 | $25K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 13% | 270 | 263 | $11K |
| V2750 | Anti-reflective coating, per lens | 2.0% | 100 | 27 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.7% | 56 | 27 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.4% | 29 | 29 | $1K |
| 92002 | <1% | 12 | 12 | $505.40 | |
| 92015 | Determination of refractive state | <1% | 100 | 100 | $35.00 |
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 (DIR HEALTHCARE CONTRACTING & ENROLL)
Parent organizationWAL-MART STORES, INC.
| 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.