Supplier
Sam's Club Optical
Sam's Club Optical was paid $2K by Medicaid between Mar 2023 and Aug 2024, across 3 billing codes. Its largest line is V2020, Frames, purchases — 66% of everything it billed.
33Billing provider infoSAM'S CLUB OPTICAL
PORT ST. LUCIE, FL 34953
PORT ST. LUCIE, FL 34953
33aNPI1467636449assigned 12/26/2007
33bProvider typeEyewear Supplier
28Total paid$2K
24GClaims181
24DCodes billed3
24AFirst – last monthMar 2023 – Aug 2024
Compared with peers
Next to other Eyewear Supplier providers in Florida
Rank by total paid#21 of 32
Median peer was paid$6K
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.
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
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 | |
|---|---|---|---|
| 2023 | 96 | $1K | |
| 2024incomplete | 85 | $976.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 66% | 122 | 75 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 34% | 42 | 27 | $831.00 |
| V2750 | Anti-reflective coating, per lens | 0% | 17 | 12 | $0.00 |
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 officialSIMMONS, DAVID (NPI ASSOCIATE)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.