Supplier
Wal-Mart Stores East, LP
Wal-Mart Stores East, LP was paid $6K by Medicaid between Jul 2021 and May 2024, across 5 billing codes. Its largest line is V2020, Frames, purchases — 60% of everything it billed.
33Billing provider infoWAL-MART STORES EAST, LP
TETERBORO, NJ 07608
TETERBORO, NJ 07608
33aNPI1851782387assigned 02/05/2015
33bProvider typeEyewear Supplier
28Total paid$6K
24GClaims622
24DCodes billed5
24AFirst – last monthJul 2021 – May 2024
Compared with peers
Next to other Eyewear Supplier providers in New Jersey
Rank by total paid#45 of 70
Median peer was paid$25K
This provider vs. median0.2×
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.
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 | |
|---|---|---|---|
| 2021 | 78 | $1K | |
| 2022 | 112 | $904.00 | |
| 2023 | 302 | $2K | |
| 2024incomplete | 130 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 60% | 295 | 293 | $3K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 24% | 77 | 70 | $1K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 16% | 44 | 42 | $902.50 |
| V2025 | Deluxe frame | 0% | 190 | 190 | $0.00 |
| V2750 | Anti-reflective coating, per lens | 0% | 16 | 13 | $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 officialLEVINE, LAURA (DIRECTOR)
Parent organizationWAL-MART STORES INC
| Provider | Location | Paid |
|---|---|---|
| Sams West INC | Denver, CO | $9K |
| Sams West INC | Honolulu, HI | $6K |
| Sams West INC | Aurora, CO | $1K |
| Sams East INC | Winston Salem, NC | $715.00 |
| Sams West INC | Reno, NV | $0.00 |
| Sams East INC | Metairie, LA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.