Supplier
Wal-Mart Stores East, L.P
Wal-Mart Stores East, L.P was paid $1.28M by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is V2025, Deluxe frame — 53% of everything it billed.
33Billing provider infoWAL-MART STORES EAST, L.P
LEWISBURG, PA 17837
LEWISBURG, PA 17837
33aNPI1619008133assigned 03/08/2007
33bProvider typeEyewear Supplier
28Total paid$1.28M
24GClaims35,120
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Eyewear Supplier providers in Pennsylvania
Rank by total paid#6 of 129
Median peer was paid$96K
This provider vs. median13×
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
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 | |
|---|---|---|---|
| 2018 | 132 | $7K | |
| 2019 | 278 | $5K | |
| 2020 | 2,027 | $64K | |
| 2021 | 8,353 | $296K | |
| 2022 | 10,911 | $424K | |
| 2023 | 8,992 | $328K | |
| 2024incomplete | 4,427 | $152K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2025 | Deluxe frame | 53% | 11,112 | 9,657 | $679K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 10% | 7,165 | 5,986 | $131K |
| V2520 | Contact lens, hydrophilic, spherical, per lens | 6.4% | 1,280 | 1,151 | $81K |
| V2020 | Frames, purchases | 5.2% | 2,777 | 2,340 | $66K |
| V2781 | Progressive lens, per lens | 4.8% | 848 | 670 | $62K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3.5% | 1,261 | 1,063 | $45K |
| V2744 | Tint, photochromatic, per lens | 3.4% | 868 | 709 | $43K |
| V2521 | Contact lens, hydrophilic, toric, or prism ballast, per lens | 2.7% | 532 | 494 | $34K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.4% | 1,889 | 1,611 | $31K |
| V2750 | Anti-reflective coating, per lens | 2.2% | 2,429 | 2,056 | $28K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.9% | 2,384 | 1,973 | $25K |
| V2523 | Contact lens, hydrophilic, extended wear, per lens | 1.5% | 314 | 250 | $20K |
5 more codes
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 1.2% | 1,032 | $15K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | 1.1% | 843 | $14K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 34 | $1K |
| V2755 | U-v lens, per lens | <1% | 150 | $938.00 |
| V2799 | Vision item or service, miscellaneous | 0% | 202 | $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 officialSIMMONS, DAVID (NPI ASSOCIATE)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.