Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WAL-MART STORES EAST, LP

NPI: 1417126103 · WHITE HOUSE, TN 37188 · Eyewear Supplier · NPI assigned 02/27/2008

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SIMMONS, DAVID controls 20+ related entities in our dataset. Read more

$17K
Total Medicaid Paid
1,341
Total Claims
1,287
Beneficiaries
4
Codes Billed
2018-02
First Month
2023-09
Last Month

Provider Details

Authorized OfficialSIMMONS, DAVID (NPI ASSOCIATE)
NPI Enumeration Date02/27/2008

Related Entities

Other providers sharing the same authorized official: SIMMONS, DAVID

ProviderCityStateTotal Paid
COMMUNITY HEALTH CENTERS OF BURLINGTON INC BURLINGTON VT $39.68M
WAL-MART STORES EAST, L.P LEWISBURG PA $1.28M
WAL-MART STORES EAST, LP WARREN OH $952K
WAL-MART STORES EAST, LP LANCASTER OH $446K
WAL-MART STORES EAST, L.P. FRANKLIN OH $301K
WAL-MART STORES EAST, LP ARBUTUS MD $287K
WAL-MART STORES EAST, LP DUNCANSVILLE PA $227K
WAL-MART STORES EAST, LP GLEN BURNIE MD $214K
WAL-MART STORES EAST, L.P. MILFORD OH $169K
WAL-MART STORES EAST, LP UNIONTOWN PA $162K
WAL-MART STORES TEXAS, LP GARLAND TX $159K
WAL-MART STORES EAST, LP STREETSBORO OH $135K
WAL-MART STORES EAST, LP DEARBORN 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, LP MONONA WI $20K
WAL-MART STORES, INC CRYSTAL LAKE IL $20K
WAL-MART STORES EAST, LP BERNALILLO NM $16K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 261 $4K
2019 257 $4K
2020 161 $3K
2021 187 $2K
2022 192 $2K
2023 283 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 980 937 $12K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 313 304 $6K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 16 15 $171.58
V2750 Anti-reflective coating, per lens 32 31 $0.00