WAL-MART STORES INC

NPI: 1891000147 · GRIMES, IA 50111 · Optician · NPI assigned 08/11/2010

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official PAINTER, DIANNA controls 20+ related entities in our dataset. Read more

$43K

Total Medicaid Paid

1,782

Total Claims

1,751

Beneficiaries

Codes Billed

2018-01

First Month

2024-09

Last Month

Provider Details

Authorized Official	PAINTER, DIANNA (ENROLLMENT SPECIALIST)
NPI Enumeration Date	08/11/2010

Other providers sharing the same authorized official: PAINTER, DIANNA

Provider	City	State	Total Paid
WAL-MART STORES EAST LP	LORAIN	OH	$130K
WAL-MART STORES EAST LP	SHEBOYGAN	WI	$128K
WAL-MART STORES EAST LP	FALLSTON	MD	$105K
WAL-MART STORES EAST LP	DU BOIS	PA	$55K
WAL-MART STORES TEXAS LP	LEWISVILLE	TX	$44K
WAL-MART STORES EAST LP	ETTERS	PA	$43K
WAL-MART STORES INC	ELGIN	IL	$40K
WAL-MART STORES EAST, LP	ERIE	PA	$40K
WAL-MART STORES INC	STREAMWOOD	IL	$39K
WAL-MART STORES EAST, LP	PITTSTON	PA	$37K
WAL-MART STORES EAST LP	BRIDGETON	MO	$36K
WAL-MART STORES EAST LP	BILOXI	MS	$26K
WAL-MART STORES EAST LP	CLARION	PA	$24K
WAL-MART STORES INC	JOHNSBURG	IL	$14K
WAL-MART STORES EAST LP	GARFIELD	NJ	$9K
WAL-MART STORES INC	NEWTON	IA	$7K
WAL-MART STORES EAST LP	KNOXVILLE	TN	$6K
WAL-MART STORES EAST LP	LEHIGHTON	PA	$3K
WAL-MART STORES EAST LP	MANY	LA	$3K
WAL-MART STORES INC	RENO	NV	$2K

Code	Description	Claims	Beneficiaries	Total Paid
V2020	Frames, purchases	1,245	1,223	$32K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	487	478	$9K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	25	25	$479.00
V2781	Progressive lens, per lens	13	13	$232.00
V2750	Anti-reflective coating, per lens	12	12	$199.00