Medicaid Provider Spending

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

SAM'S CLUB OPTICAL

NPI: 1720236011 · DEPTFORD, NJ 08096 · Eyewear Supplier · NPI assigned 08/29/2008

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

Authorized official SUTTON, SABRINA controls 13+ related entities in our dataset. Read more

$54K
Total Medicaid Paid
8,733
Total Claims
8,526
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSUTTON, SABRINA (NPI ASSOCIATE)
NPI Enumeration Date08/29/2008

Related Entities

Other providers sharing the same authorized official: SUTTON, SABRINA

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 1,072 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 4,132 4,102 $20K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 2,458 2,391 $16K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 918 899 $14K
V2781 Progressive lens, per lens 27 25 $1K
V2784 Lens, polycarbonate or equal, any index, per lens 274 259 $835.24
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 28 26 $670.00
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 57 52 $324.25
V2744 Tint, photochromatic, per lens 12 12 $0.00
V2750 Anti-reflective coating, per lens 472 446 $0.00
V2025 Deluxe frame 355 314 $0.00