Supplier
Wal-Mart Stores East, LP.
Wal-Mart Stores East, LP. was paid $13K by Medicaid between Aug 2024 and Dec 2024, across 4 billing codes. Its largest line is V2020, Frames, purchases — 36% of everything it billed.
33Billing provider infoWAL-MART STORES EAST, LP.
PHILADELPHIA, PA 19148
PHILADELPHIA, PA 19148
33aNPI1548037724assigned 12/07/2023
33bProvider typeEyewear Supplier
28Total paid$13K
24GClaims508
24DCodes billed4
24AFirst – last monthAug 2024 – Dec 2024
Compared with peers
Next to other Eyewear Supplier providers in Pennsylvania
Rank by total paid#105 of 129
Median peer was paid$96K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2024incomplete | 508 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 36% | 146 | 101 | $5K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 35% | 163 | 72 | $4K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 29% | 88 | 88 | $4K |
| 92015 | Determination of refractive state | 0% | 111 | 111 | $0.00 |
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 officialGARVEY, MICHELE (DIRECTOR OF HEALTH CARE CONTRACTING)
| Provider | Location | Paid |
|---|---|---|
| Walmart INC. | Homewood, IL | $28K |
| Wal-Mart Stores East, LP. | Harrisburg, PA | $18K |
| Walmart INC. | North Las Vegas, NV | $15K |
| Walmart INC. | Rapid City, SD | $8K |
| Wal-Mart Stores East, LP. | Las Cruces, NM | $4K |
| Wal-Mart Stores Texas, LLC | Fort Worth, TX | $2K |
| Wal-Mart Stores East, LP. | Albuquerque, NM | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.