Medicaid Provider Spending

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

WAL-MART STORES EAST, LP

NPI: 1629159090 · YORK, PA 17402 · Optician · NPI assigned 10/18/2006

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

Authorized official GENTILE, NICOLE controls 20+ related entities in our dataset. Read more

$171K
Total Medicaid Paid
5,862
Total Claims
4,504
Beneficiaries
10
Codes Billed
2020-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGENTILE, NICOLE (NPI COORDINATOR)
NPI Enumeration Date10/18/2006

Related Entities

Other providers sharing the same authorized official: GENTILE, NICOLE

ProviderCityStateTotal Paid
WAL-MART STORES TEXAS, LP LAKE JACKSON TX $632K
WAL-MART STORES TEXAS, LP BAYTOWN TX $595K
WAL-MART STORES TEXAS, LP PASADENA TX $497K
WAL-MART STORES TEXAS, LP ALVIN TX $483K
WAL-MART STORES EAST, LP CINCINNATI OH $464K
WAL-MART STORES TEXAS, LP BRYAN TX $440K
WAL-MART STORES TEXAS, LP SAN ANTONIO TX $437K
WAL-MART STORES TEXAS, LP HOUSTON TX $418K
WAL-MART STORES EAST, LP MADISON OH $403K
WAL-MART STORES TEXAS, LP EDINBURG TX $374K
WAL-MART STORES TEXAS, LP CLEVELAND TX $363K
WAL-MART STORES TEXAS, LP LIVINGSTON TX $318K
WAL-MART STORES EAST, LP LOGAN OH $303K
WAL-MART STORES TEXAS, LP HARLINGEN TX $301K
WAL-MART STORES TEXAS, LP HOUSTON TX $300K
WAL-MART STORES TEXAS, LP SPRING TX $286K
WAL-MART STORES EAST, LP ATHENS OH $276K
WAL-MART STORES EAST, LP NEWARK OH $260K
WAL-MART STORES EAST, LP HAMILTON OH $246K
WAL-MART STORES TEXAS, LP ROUND ROCK TX $240K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 243 $7K
2021 1,609 $42K
2022 1,741 $51K
2023 1,466 $46K
2024 803 $25K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1,639 1,012 $60K
V2020 Frames, purchases 2,923 2,385 $58K
92002 554 553 $22K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 555 393 $22K
V2115 Lenticular, (myodisc), per lens, single vision 75 60 $7K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 20 20 $800.00
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 17 12 $727.80
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 15 15 $600.00
V2744 Tint, photochromatic, per lens 22 13 $150.00
V2750 Anti-reflective coating, per lens 42 41 $30.00