Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Wal-Mart Stores East, LP

Wal-Mart Stores East, LP was paid $251K by Medicaid between Oct 2020 and Nov 2024, across 9 billing codes. Its largest line is V2103, Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens — 47% of everything it billed.

33Billing provider infoWAL-MART STORES EAST, LP
MOUNT POCONO, PA 18344
33aNPI1518040294assigned 10/24/2006
33bProvider typeOptician
28Total paid$251K
24GClaims9,804
24DCodes billed9
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers

Next to other Optician providers in Pennsylvania

Rank by total paid#26 of 140
Median peer was paid$57K
This provider vs. median4.4×

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 GENTILE, NICOLE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
20201,103$29K
20213,138$77K
20222,496$61K
20232,005$54K
2024incomplete1,062$31K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 47% 4,515 1,957 $118K
V2020 Frames, purchases 46% 4,126 2,943 $116K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 4.7% 450 242 $12K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens <1% 56 25 $2K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 530 266 $1K
S0581 Nonstandard lens (list this code in addition to the basic code for the lens) <1% 24 12 $1K
V2025 Deluxe frame <1% 18 18 $955.00
V2750 Anti-reflective coating, per lens <1% 22 13 $45.00
V2744 Tint, photochromatic, per lens <1% 63 38 $35.00

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 officialGENTILE, NICOLE (NPI COORDINATOR)
Same official

Other billing entities under GENTILE, NICOLE

Full network →
ProviderLocationPaid
Wal-Mart Stores Texas, LPLake Jackson, TX$632K
Wal-Mart Stores Texas, LPBaytown, TX$595K
Wal-Mart Stores Texas, LPPasadena, TX$497K
Wal-Mart Stores Texas, LPAlvin, TX$483K
Wal-Mart Stores East, LPCincinnati, OH$464K
Wal-Mart Stores Texas, LPBryan, TX$440K
Wal-Mart Stores Texas, LPSan Antonio, TX$437K
Wal-Mart Stores Texas, LPHouston, TX$418K
Wal-Mart Stores East, LPMadison, OH$403K
Wal-Mart Stores Texas, LPEdinburg, TX$374K
Wal-Mart Stores Texas, LPCleveland, TX$363K
Wal-Mart Stores Texas, LPLivingston, TX$318K
Wal-Mart Stores East, LPLogan, OH$303K
Wal-Mart Stores Texas, LPHarlingen, TX$301K
Wal-Mart Stores Texas, LPHouston, TX$300K
Wal-Mart Stores Texas, LPSpring, TX$286K
Wal-Mart Stores East, LPAthens, OH$276K
Wal-Mart Stores East, LPNewark, OH$260K
Wal-Mart Stores East, LPHamilton, OH$246K
Wal-Mart Stores Texas, LPRound Rock, TX$240K

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