Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1487735577 · DEXTER, MO 63841 · Optician · NPI assigned 10/17/2006

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

Authorized official GENTILE, NICOLE controls 20+ related entities in our dataset. Read more

$8K
Total Medicaid Paid
328
Total Claims
328
Beneficiaries
4
Codes Billed
2022-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGENTILE, NICOLE (NPI COORDINATOR)
NPI Enumeration Date10/17/2006

Related Entities

Other providers sharing the same authorized official: GENTILE, NICOLE

ProviderCityStateTotal Paid
WAL-MART STORES TEXAS, LP LAKE JACKSON TX $632K
WAL-MART STORES TEXAS, LP BAYTOWN TX $595K
WAL-MART STORES TEXAS, LP PASADENA TX $497K
WAL-MART STORES TEXAS, LP ALVIN TX $483K
WAL-MART STORES EAST, LP CINCINNATI OH $464K
WAL-MART STORES TEXAS, LP BRYAN TX $440K
WAL-MART STORES TEXAS, LP SAN ANTONIO TX $437K
WAL-MART STORES TEXAS, LP HOUSTON TX $418K
WAL-MART STORES EAST, LP MADISON OH $403K
WAL-MART STORES TEXAS, LP EDINBURG TX $374K
WAL-MART STORES TEXAS, LP CLEVELAND TX $363K
WAL-MART STORES TEXAS, LP LIVINGSTON TX $318K
WAL-MART STORES EAST, LP LOGAN OH $303K
WAL-MART STORES TEXAS, LP HARLINGEN TX $301K
WAL-MART STORES TEXAS, LP HOUSTON TX $300K
WAL-MART STORES TEXAS, LP SPRING TX $286K
WAL-MART STORES EAST, LP ATHENS OH $276K
WAL-MART STORES EAST, LP NEWARK OH $260K
WAL-MART STORES EAST, LP HAMILTON OH $246K
WAL-MART STORES TEXAS, LP ROUND ROCK TX $240K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 97 $2K
2023 119 $5K
2024 112 $823.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92002 63 63 $4K
V2020 Frames, purchases 212 212 $3K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 12 12 $602.52
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 41 41 $435.00