WAL-MART STORES EAST, LP

NPI: 1407932734 · COLUMBIA, MO 65203 · Optician · NPI assigned 10/30/2006

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official BOYD, TAMMY controls 20+ related entities in our dataset. Read more

$12K

Total Medicaid Paid

677

Total Claims

677

Beneficiaries

Codes Billed

2020-11

First Month

2021-08

Last Month

Provider Details

Authorized Official	BOYD, TAMMY (CONTRACT COORDINATOR)
NPI Enumeration Date	10/30/2006

Other providers sharing the same authorized official: BOYD, TAMMY

Provider	City	State	Total Paid
WAL-MART STORES EAST, LP	CINCINNATI	OH	$750K
WAL-MART STORES EAST, LP	COLUMBUS	OH	$575K
WAL-MART STORES EAST, LP	CINCINNATI	OH	$483K
WAL-MART STORES EAST, LP	AKRON	OH	$474K
WAL-MART STORES EAST , LP	BELLEFONTAINE	OH	$450K
WAL-MART STORES EAST, LP	HAMILTON	OH	$394K
WAL-MART STORES EAST, LP	ROCHESTER	NY	$367K
WAL-MART STORES EAST, LP	WILLOWICK	OH	$340K
WAL-MART STORES EAST, LP	CLEVELAND	OH	$324K
WAL-MART STORES EAST, LP	GREENVILLE	OH	$317K
WAL-MART STORES EAST, LP	HEATH	OH	$305K
WAL-MART STORES EAST, LP	MEDINA	OH	$279K
WAL-MART STORES EAST, LP	WOOSTER	OH	$278K
WAL-MART STORES EAST, LP	MANSFIELD	OH	$259K
WAL-MART STORES EAST, LP	AUSTINTOWN	OH	$243K
WAL-MART STORES EAST, LP	NORTH OLMSTED	OH	$216K
WAL-MART STORES, INC.	NORTHLAKE	IL	$216K
WAL-MART STORES EAST, LP	WEST UNION	OH	$207K
WAL-MART STORES EAST, LP	FAIRLAWN	OH	$204K
WAL-MART STORES EAST, LP	SIDNEY	OH	$189K

Year	Claims	Total Paid
2020	67	$243.60
2021	610	$12K

Code	Description	Claims	Beneficiaries	Total Paid
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	188	188	$10K
V2020	Frames, purchases	99	99	$2K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	173	173	$175.00
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	69	69	$116.00
V2025	Deluxe frame	148	148	$0.00