Medicaid Provider Spending

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

WAL-MART STORES EAST, L.P

NPI: 1619008133 · LEWISBURG, PA 17837 · Eyewear Supplier · NPI assigned 03/08/2007

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

Authorized official SIMMONS, DAVID controls 20+ related entities in our dataset. Read more

$1.28M
Total Medicaid Paid
35,120
Total Claims
29,859
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSIMMONS, DAVID (NPI ASSOCIATE)
NPI Enumeration Date03/08/2007

Related Entities

Other providers sharing the same authorized official: SIMMONS, DAVID

ProviderCityStateTotal Paid
COMMUNITY HEALTH CENTERS OF BURLINGTON INC BURLINGTON VT $39.68M
WAL-MART STORES EAST, LP WARREN OH $952K
WAL-MART STORES EAST, LP LANCASTER OH $446K
WAL-MART STORES EAST, L.P. FRANKLIN OH $301K
WAL-MART STORES EAST, LP ARBUTUS MD $287K
WAL-MART STORES EAST, LP DUNCANSVILLE PA $227K
WAL-MART STORES EAST, LP GLEN BURNIE MD $214K
WAL-MART STORES EAST, L.P. MILFORD OH $169K
WAL-MART STORES EAST, LP UNIONTOWN PA $162K
WAL-MART STORES TEXAS, LP GARLAND TX $159K
WAL-MART STORES EAST, LP STREETSBORO OH $135K
WAL-MART STORES EAST, LP DEARBORN MI $106K
WAL-MART STORES EAST, L.P. WARREN PA $78K
WAL-MART STORES EAST, L.P. TAMAQUA PA $58K
WAL-MART STORES EAST, L.P. ELIZABETHVILLE PA $39K
WAL-MART STORES INC. FREEPORT IL $31K
WAL-MART STORES EAST, LP MONONA WI $20K
WAL-MART STORES, INC CRYSTAL LAKE IL $20K
WAL-MART STORES EAST, LP BERNALILLO NM $16K
WAL-MART STORES EAST, L.P. MARYVILLE TN $15K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 132 $7K
2019 278 $5K
2020 2,027 $64K
2021 8,353 $296K
2022 10,911 $424K
2023 8,992 $328K
2024 4,427 $152K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2025 Deluxe frame 11,112 9,657 $679K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 7,165 5,986 $131K
V2520 Contact lens, hydrophilic, spherical, per lens 1,280 1,151 $81K
V2020 Frames, purchases 2,777 2,340 $66K
V2781 Progressive lens, per lens 848 670 $62K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1,261 1,063 $45K
V2744 Tint, photochromatic, per lens 868 709 $43K
V2521 Contact lens, hydrophilic, toric, or prism ballast, per lens 532 494 $34K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1,889 1,611 $31K
V2750 Anti-reflective coating, per lens 2,429 2,056 $28K
V2784 Lens, polycarbonate or equal, any index, per lens 2,384 1,973 $25K
V2523 Contact lens, hydrophilic, extended wear, per lens 314 250 $20K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 1,032 899 $15K
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens 843 711 $14K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 34 27 $1K
V2755 U-v lens, per lens 150 137 $938.00
V2799 Vision item or service, miscellaneous 202 125 $0.00