Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Elizabethville › NPI 1508997024

Wal-Mart Stores East, L.P.

Wal-Mart Stores East, L.P. was paid $39K by Medicaid between Oct 2020 and Nov 2024, across 3 billing codes. Its largest line is V2020, Frames, purchases — 51% of everything it billed.

33Billing provider infoWAL-MART STORES EAST, L.P.
ELIZABETHVILLE, PA 17023
33aNPI1508997024assigned 03/08/2007
33bProvider typeOptician
28Total paid$39K
24GClaims1,502
24DCodes billed3
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers

Next to other Optician providers in Pennsylvania

Rank by total paid#86 of 140
Median peer was paid$57K
This provider vs. median0.7×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
202071$2K
2021412$10K
2022481$12K
2023406$12K
2024incomplete132$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2020 Frames, purchases 51% 1,040 875 $20K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 41% 410 263 $16K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 7.6% 52 37 $3K

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)
Same official

Other billing entities under SIMMONS, DAVID

Full network →
ProviderLocationPaid
Community Health Centers of Burlington INCBurlington, VT$39.68M
Wal-Mart Stores East, L.PLewisburg, PA$1.28M
Wal-Mart Stores East, LPWarren, OH$952K
Wal-Mart Stores East, LPLancaster, OH$446K
Wal-Mart Stores East, L.P.Franklin, OH$301K
Wal-Mart Stores East, LPArbutus, MD$287K
Wal-Mart Stores East, LPDuncansville, PA$227K
Wal-Mart Stores East, LPGlen Burnie, MD$214K
Wal-Mart Stores East, L.P.Milford, OH$169K
Wal-Mart Stores East, LPUniontown, PA$162K
Wal-Mart Stores Texas, LPGarland, TX$159K
Wal-Mart Stores East, LPStreetsboro, OH$135K
Wal-Mart Stores East, LPDearborn, MI$106K
Wal-Mart Stores East, L.P.Warren, PA$78K
Wal-Mart Stores East, L.P.Tamaqua, PA$58K
Wal-Mart Stores INC.Freeport, IL$31K
Wal-Mart Stores East, LPMonona, WI$20K
Wal-Mart Stores, INCCrystal Lake, IL$20K
Wal-Mart Stores East, LPBernalillo, NM$16K
Wal-Mart Stores East, L.P.Maryville, TN$15K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.