Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Ephrata › NPI 1639252315

Wal-Mart Stores East, LP

Wal-Mart Stores East, LP was paid $422K by Medicaid between Jul 2020 and Dec 2024, across 17 billing codes. Its largest line is V2103, Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens — 34% of everything it billed.

33Billing provider infoWAL-MART STORES EAST, LP
EPHRATA, PA 17522
33aNPI1639252315assigned 10/24/2006
33bProvider typeOptician
28Total paid$422K
24GClaims15,482
24DCodes billed17
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers

Next to other Optician providers in Pennsylvania

Rank by total paid#12 of 140
Median peer was paid$57K
This provider vs. median7.4×

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 GENTILE, NICOLE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20201,106$31K
20214,812$121K
20223,584$92K
20233,275$88K
2024incomplete2,705$90K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 34% 3,970 2,541 $143K
V2020 Frames, purchases 30% 6,237 5,336 $129K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 17% 1,777 1,310 $72K
V2115 Lenticular, (myodisc), per lens, single vision 4.7% 234 207 $20K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 3.5% 279 199 $15K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 1.9% 203 151 $8K
V2025 Deluxe frame 1.8% 134 134 $8K
V2781 Progressive lens, per lens 1.6% 267 154 $7K
V2520 Contact lens, hydrophilic, spherical, per lens 1.2% 64 64 $5K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1.1% 79 55 $4K
V2750 Anti-reflective coating, per lens <1% 1,205 1,056 $2K
V2521 Contact lens, hydrophilic, toric, or prism ballast, per lens <1% 27 27 $2K
5 more codes
V2599 Contact lens, other type <1% 25 $2K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 656 $2K
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens <1% 37 $1K
V2523 Contact lens, hydrophilic, extended wear, per lens <1% 12 $1K
V2744 Tint, photochromatic, per lens <1% 276 $491.00

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 officialGENTILE, NICOLE (NPI COORDINATOR)
Same official

Other billing entities under GENTILE, NICOLE

Full network →
ProviderLocationPaid
Wal-Mart Stores Texas, LPLake Jackson, TX$632K
Wal-Mart Stores Texas, LPBaytown, TX$595K
Wal-Mart Stores Texas, LPPasadena, TX$497K
Wal-Mart Stores Texas, LPAlvin, TX$483K
Wal-Mart Stores East, LPCincinnati, OH$464K
Wal-Mart Stores Texas, LPBryan, TX$440K
Wal-Mart Stores Texas, LPSan Antonio, TX$437K
Wal-Mart Stores Texas, LPHouston, TX$418K
Wal-Mart Stores East, LPMadison, OH$403K
Wal-Mart Stores Texas, LPEdinburg, TX$374K
Wal-Mart Stores Texas, LPCleveland, TX$363K
Wal-Mart Stores Texas, LPLivingston, TX$318K
Wal-Mart Stores East, LPLogan, OH$303K
Wal-Mart Stores Texas, LPHarlingen, TX$301K
Wal-Mart Stores Texas, LPHouston, TX$300K
Wal-Mart Stores Texas, LPSpring, TX$286K
Wal-Mart Stores East, LPAthens, OH$276K
Wal-Mart Stores East, LPNewark, OH$260K
Wal-Mart Stores East, LPHamilton, OH$246K
Wal-Mart Stores Texas, LPRound Rock, TX$240K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.