Medicaid Provider Spending

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

SAM'S CLUB OPTICAL

NPI: 1467636449 · PORT ST. LUCIE, FL 34953 · Eyewear Supplier · NPI assigned 12/26/2007

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

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

$2K
Total Medicaid Paid
181
Total Claims
114
Beneficiaries
3
Codes Billed
2023-03
First Month
2024-08
Last Month

Provider Details

Authorized OfficialSIMMONS, DAVID (NPI ASSOCIATE)
NPI Enumeration Date12/26/2007

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
2023 96 $1K
2024 85 $976.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 122 75 $2K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 42 27 $831.00
V2750 Anti-reflective coating, per lens 17 12 $0.00