Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1477737542 · LANCASTER, OH 43130 · Eyewear Supplier · NPI assigned 12/24/2007

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

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

$446K
Total Medicaid Paid
20,679
Total Claims
19,168
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIMMONS, DAVID (NPI ASSOCIATE)
NPI Enumeration Date12/24/2007

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, 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
WAL-MART STORES EAST, L.P. MARYVILLE TN $15K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,530 $39K
2019 2,442 $42K
2020 1,333 $29K
2021 3,120 $93K
2022 4,293 $143K
2023 4,100 $50K
2024 2,861 $51K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 8,781 8,065 $232K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 5,251 4,771 $102K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1,935 1,767 $36K
V2784 Lens, polycarbonate or equal, any index, per lens 2,019 1,973 $30K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 749 726 $27K
V2750 Anti-reflective coating, per lens 970 953 $6K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 291 245 $4K
V2025 Deluxe frame 473 473 $4K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 71 65 $3K
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens 87 80 $1K
V2520 Contact lens, hydrophilic, spherical, per lens 12 12 $1K
V2744 Tint, photochromatic, per lens 40 38 $43.70