Supplier
Sam's Club Optical
Sam's Club Optical was paid $54K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is V2020, Frames, purchases — 37% of everything it billed.
33Billing provider infoSAM'S CLUB OPTICAL
DEPTFORD, NJ 08096
DEPTFORD, NJ 08096
33aNPI1720236011assigned 08/29/2008
33bProvider typeEyewear Supplier
28Total paid$54K
24GClaims8,733
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Eyewear Supplier providers in New Jersey
Rank by total paid#29 of 70
Median peer was paid$25K
This provider vs. median2.2×
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 SUTTON, SABRINA controls 13+ 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 | 598 | $0.00 | |
| 2019 | 615 | $0.00 | |
| 2020 | 612 | $0.00 | |
| 2021 | 1,398 | $8K | |
| 2022 | 2,122 | $17K | |
| 2023 | 2,316 | $20K | |
| 2024incomplete | 1,072 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 37% | 4,132 | 4,102 | $20K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 30% | 2,458 | 2,391 | $16K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 26% | 918 | 899 | $14K |
| V2781 | Progressive lens, per lens | 2.7% | 27 | 25 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.6% | 274 | 259 | $835.24 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.2% | 28 | 26 | $670.00 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 57 | 52 | $324.25 |
| V2744 | Tint, photochromatic, per lens | 0% | 12 | 12 | $0.00 |
| V2750 | Anti-reflective coating, per lens | 0% | 472 | 446 | $0.00 |
| V2025 | Deluxe frame | 0% | 355 | 314 | $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 officialSUTTON, SABRINA (NPI ASSOCIATE)
| Provider | Location | Paid |
|---|---|---|
| Wal-Mart Stores, INC. | King Of Prussia, PA | $5.74M |
| Wal-Mart Stores, INC. | Omaha, NE | $207K |
| Wal-Mart Stores East, LP | Cincinnati(evendale), OH | $176K |
| Wal-Mart Stores East, LP | New Boston, OH | $149K |
| Wal-Mart Stores, INC. | Oswego, IL | $43K |
| Wal-Mart Stores INC. | Galesburg, IL | $33K |
| Wal-Mart Stores East, LP | Shreveport, LA | $28K |
| Wal-Mart Stores, INC. | Lockport, IL | $26K |
| Wal-Mart Stores East, LP | Waveland, MS | $22K |
| Wal-Mart Stores, INC. | Lincoln, NE | $9K |
| Wal-Mart Stores, INC. | Ruidoso Downs, NM | $5K |
| Wal-Mart Stores, INC. | Rantoul, IL | $971.00 |
| Wal-Mart Stores East, LP | Breaux Bridge, LA | $785.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.