Medicaid Provider Spending

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

WAL-MART STORES EAST LP

NPI: 1528367935 · ETTERS, PA 17319 · Optician · NPI assigned 03/24/2011

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

Authorized official PAINTER, DIANNA controls 20+ related entities in our dataset. Read more

$43K
Total Medicaid Paid
1,599
Total Claims
1,459
Beneficiaries
10
Codes Billed
2020-12
First Month
2024-09
Last Month

Provider Details

Authorized OfficialPAINTER, DIANNA (ENROLLMENT SPECIALIST)
Parent OrganizationWAL-MART STORES INC
NPI Enumeration Date03/24/2011

Related Entities

Other providers sharing the same authorized official: PAINTER, DIANNA

ProviderCityStateTotal Paid
WAL-MART STORES EAST LP LORAIN OH $130K
WAL-MART STORES EAST LP SHEBOYGAN WI $128K
WAL-MART STORES EAST LP FALLSTON MD $105K
WAL-MART STORES EAST LP DU BOIS PA $55K
WAL-MART STORES TEXAS LP LEWISVILLE TX $44K
WAL-MART STORES INC GRIMES IA $43K
WAL-MART STORES INC ELGIN IL $40K
WAL-MART STORES EAST, LP ERIE PA $40K
WAL-MART STORES INC STREAMWOOD IL $39K
WAL-MART STORES EAST, LP PITTSTON PA $37K
WAL-MART STORES EAST LP BRIDGETON MO $36K
WAL-MART STORES EAST LP BILOXI MS $26K
WAL-MART STORES EAST LP CLARION PA $24K
WAL-MART STORES INC JOHNSBURG IL $14K
WAL-MART STORES EAST LP GARFIELD NJ $9K
WAL-MART STORES INC NEWTON IA $7K
WAL-MART STORES EAST LP KNOXVILLE TN $6K
WAL-MART STORES EAST LP LEHIGHTON PA $3K
WAL-MART STORES EAST LP MANY LA $3K
WAL-MART STORES INC RENO NV $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 12 $221.52
2021 180 $4K
2022 508 $14K
2023 545 $16K
2024 354 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 800 737 $14K
92002 318 317 $13K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 275 208 $10K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 76 76 $3K
V2025 Deluxe frame 42 42 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 13 13 $495.00
92015 Determination of refractive state 25 25 $315.00
V2750 Anti-reflective coating, per lens 15 15 $70.90
V2799 Vision item or service, miscellaneous 13 13 $65.00
V2784 Lens, polycarbonate or equal, any index, per lens 22 13 $33.00