Wal-Mart Stores INC
Wal-Mart Stores INC was paid $19K by Medicaid between Sep 2020 and Sep 2024, across 7 billing codes. Its largest line is V2025, Deluxe frame — 57% of everything it billed.
33Billing provider infoWAL-MART STORES INC
CHICAGO, IL 60064
CHICAGO, IL 60064
33aNPI1477993186assigned 06/26/2013
33bProvider typeOptician
28Total paid$19K
24GClaims1,172
24DCodes billed7
24AFirst – last monthSep 2020 – Sep 2024
Compared with peers
Next to other Optician providers in Illinois
Rank by total paid#36 of 73
Median peer was paid$18K
This provider vs. median1.0×
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.
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 | |
|---|---|---|---|
| 2020 | 33 | $746.40 | |
| 2021 | 108 | $1K | |
| 2022 | 83 | $1K | |
| 2023 | 692 | $12K | |
| 2024incomplete | 256 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2025 | Deluxe frame | 57% | 391 | 383 | $11K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 25% | 374 | 371 | $5K |
| V2020 | Frames, purchases | 8.9% | 169 | 163 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 3.4% | 195 | 186 | $646.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.9% | 12 | 12 | $557.40 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 1.5% | 18 | 14 | $288.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.2% | 13 | 13 | $239.00 |
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 officialPOWERS, AMY (SPECIALIST, PLAN ENROLLMENT)
Parent organizationWAL-MART STORES INC
| Provider | Location | Paid |
|---|---|---|
| Wal-Mart Stores Texas, LLC | San Antonio, TX | $109K |
| Wal-Mart Stores INC | Bloomingdale, IL | $62K |
| Wal-Mart Stores Texas LLC | Fort Worth, TX | $59K |
| Wal-Mart Stores East LP | Newport News, VA | $6K |
| Wal-Mart Stores Texas, LLC | Victoria, TX | $3K |
| Wal-Mart Stores Texas, LLC | Helotes, TX | $1K |
| Wal-Mart Stores Texas LLC | Lucas, TX | $773.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.