Medicaid Provider Spending

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

WAL-MART STORES EAST, L.P.

NPI: 1629109053 · TAMAQUA, PA 18252 · Optician · 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

$58K
Total Medicaid Paid
2,399
Total Claims
1,318
Beneficiaries
5
Codes Billed
2020-10
First Month
2023-09
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, L.P LEWISBURG PA $1.28M
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. 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
2020 902 $21K
2021 988 $23K
2022 321 $8K
2023 188 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 1,126 800 $30K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 948 373 $25K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 71 28 $2K
V2750 Anti-reflective coating, per lens 70 29 $405.00
V2784 Lens, polycarbonate or equal, any index, per lens 184 88 $110.00