Wal-Mart Stores INC
Wal-Mart Stores INC was paid $62K by Medicaid between Jul 2019 and Dec 2024, across 6 billing codes. Its largest line is V2020, Frames, purchases — 52% of everything it billed.
33Billing provider infoWAL-MART STORES INC
BLOOMINGDALE, IL 60108
BLOOMINGDALE, IL 60108
33aNPI1700219474assigned 08/16/2013
33bProvider typeOptician
28Total paid$62K
24GClaims2,163
24DCodes billed6
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other Optician providers in Illinois
Rank by total paid#17 of 73
Median peer was paid$18K
This provider vs. median3.4×
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.
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 | |
|---|---|---|---|
| 2019 | 112 | $5K | |
| 2020 | 94 | $6K | |
| 2022 | 26 | $637.00 | |
| 2023 | 1,035 | $26K | |
| 2024incomplete | 896 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 52% | 997 | 996 | $32K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 22% | 600 | 580 | $13K |
| V2025 | Deluxe frame | 16% | 133 | 108 | $10K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 6.6% | 323 | 323 | $4K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.4% | 96 | 96 | $2K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 14 | 14 | $219.00 |
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 officialPOWERS, AMY (SPECIALIST, PLAN ENROLLMENT)
Parent organizationWAL-MART STORES INC
| Provider | Location | Paid |
|---|---|---|
| Wal-Mart Stores Texas, LLC | San Antonio, TX | $109K |
| Wal-Mart Stores Texas LLC | Fort Worth, TX | $59K |
| Wal-Mart Stores INC | Chicago, IL | $19K |
| Wal-Mart Stores East LP | Newport News, VA | $6K |
| Wal-Mart Stores Texas, LLC | Victoria, TX | $3K |
| Wal-Mart Stores Texas, LLC | Helotes, TX | $1K |
| Wal-Mart Stores Texas LLC | Lucas, TX | $773.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.