Supplier
Wal-Mart Stores East LP
Wal-Mart Stores East LP was paid $65K by Medicaid between Oct 2020 and May 2024, across 5 billing codes. Its largest line is V2025, Deluxe frame — 93% of everything it billed.
33Billing provider infoWAL-MART STORES EAST LP
BRADFORD, PA 16701
BRADFORD, PA 16701
33aNPI1770500910assigned 07/16/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$65K
24GClaims1,353
24DCodes billed5
24AFirst – last monthOct 2020 – May 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Pennsylvania
Rank by total paid#185 of 279
Median peer was paid$181K
This provider vs. median0.4×
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 CANONIC, KIMBERLY controls 20+ 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 | |
|---|---|---|---|
| 2020 | 30 | $2K | |
| 2021 | 359 | $18K | |
| 2022 | 517 | $25K | |
| 2023 | 339 | $15K | |
| 2024incomplete | 108 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2025 | Deluxe frame | 93% | 996 | 835 | $60K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.0% | 215 | 177 | $3K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.6% | 92 | 87 | $1K |
| V2750 | Anti-reflective coating, per lens | <1% | 12 | 12 | $147.00 |
| 0124A | 0% | 38 | 37 | $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 officialCANONIC, KIMBERLY (SENIOR DIRECTOR, ENROLLMENT)
| Provider | Location | Paid |
|---|---|---|
| Walmart INC. | Independence, IA | $7K |
| Walmart INC. | Ankeny, IA | $3K |
| Walmart INC. | Windsor Heights, IA | $2K |
| Walmart INC. | Iowa City, IA | $2K |
| Walmart INC. | Centerville, IA | $2K |
| Walmart INC. | Denison, IA | $2K |
| Walmart INC. | West Burlington, IA | $1K |
| Walmart INC. | Monticello, AR | $1K |
| Walmart INC. | Mason City, IA | $919.50 |
| Wal-Mart Stores East LP | Kendall, FL | $301.97 |
| Walmart INC. | Waseca, MN | $242.86 |
| Wal-Mart Stores East LP | Hialeah, FL | $160.00 |
| Walmart INC. | Brooklyn Park, MN | $81.46 |
| Wal-Mart Stores East LP | Evansville, IN | $74.87 |
| Walmart INC. | Pine City, MN | $63.44 |
| Walmart INC. | Anamosa, IA | $41.46 |
| Wal-Mart Stores East LP | Jacksonville, FL | $28.39 |
| Walmart INC. | Shenandoah, IA | $22.95 |
| Wal-Mart Stores East LP | Ocala, FL | $1.12 |
| Walmart INC. | Fayetteville, AR | $0.07 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.