Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Duncansville › NPI 1396914099
Supplier

Wal-Mart Stores East, LP

Wal-Mart Stores East, LP was paid $227K by Medicaid between Oct 2020 and Dec 2024, across 8 billing codes. Its largest line is V2025, Deluxe frame — 68% of everything it billed.

33Billing provider infoWAL-MART STORES EAST, LP
DUNCANSVILLE, PA 16635
33aNPI1396914099assigned 02/27/2008
33bProvider typeEyewear Supplier
28Total paid$227K
24GClaims5,860
24DCodes billed8
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers

Next to other Eyewear Supplier providers in Pennsylvania

Rank by total paid#46 of 129
Median peer was paid$96K
This provider vs. median2.4×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official SIMMONS, DAVID controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
2020432$15K
20211,777$61K
20221,820$73K
20231,164$49K
2024incomplete667$29K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2025 Deluxe frame 68% 2,501 2,087 $154K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 17% 1,663 1,355 $38K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 7.0% 651 503 $16K
V2020 Frames, purchases 7.0% 892 680 $16K
V2781 Progressive lens, per lens <1% 22 12 $2K
V2523 Contact lens, hydrophilic, extended wear, per lens <1% 13 12 $913.00
V2784 Lens, polycarbonate or equal, any index, per lens <1% 72 69 $756.00
V2750 Anti-reflective coating, per lens <1% 46 42 $425.90

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 officialSIMMONS, DAVID (NPI ASSOCIATE)
Same official

Other billing entities under SIMMONS, DAVID

Full network →
ProviderLocationPaid
Community Health Centers of Burlington INCBurlington, VT$39.68M
Wal-Mart Stores East, L.PLewisburg, PA$1.28M
Wal-Mart Stores East, LPWarren, OH$952K
Wal-Mart Stores East, LPLancaster, OH$446K
Wal-Mart Stores East, L.P.Franklin, OH$301K
Wal-Mart Stores East, LPArbutus, MD$287K
Wal-Mart Stores East, LPGlen Burnie, MD$214K
Wal-Mart Stores East, L.P.Milford, OH$169K
Wal-Mart Stores East, LPUniontown, PA$162K
Wal-Mart Stores Texas, LPGarland, TX$159K
Wal-Mart Stores East, LPStreetsboro, OH$135K
Wal-Mart Stores East, LPDearborn, MI$106K
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, LPMonona, WI$20K
Wal-Mart Stores, INCCrystal Lake, IL$20K
Wal-Mart Stores East, LPBernalillo, NM$16K
Wal-Mart Stores East, L.P.Maryville, TN$15K

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