Supplier
Wal-Mart Stores East, LP
Wal-Mart Stores East, LP was paid $952K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is V2020, Frames, purchases — 50% of everything it billed.
33Billing provider infoWAL-MART STORES EAST, LP
WARREN, OH 44410
WARREN, OH 44410
33aNPI1922101427assigned 09/07/2006
33bProvider typeEyewear Supplier
28Total paid$952K
24GClaims37,527
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Eyewear Supplier providers in Ohio
Rank by total paid#5 of 34
Median peer was paid$143K
This provider vs. median6.7×
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 SIMMONS, DAVID 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 | |
|---|---|---|---|
| 2018 | 3,333 | $74K | |
| 2019 | 4,508 | $79K | |
| 2020 | 2,599 | $61K | |
| 2021 | 5,336 | $161K | |
| 2022 | 10,097 | $373K | |
| 2023 | 7,562 | $126K | |
| 2024incomplete | 4,092 | $78K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 50% | 14,887 | 13,359 | $475K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 16% | 8,151 | 7,065 | $151K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 7.8% | 4,103 | 3,934 | $74K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 7.3% | 3,537 | 3,165 | $70K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 6.4% | 1,798 | 1,738 | $61K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 2.2% | 528 | 480 | $21K |
| V2520 | Contact lens, hydrophilic, spherical, per lens | 1.7% | 190 | 181 | $16K |
| V2783 | Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens | 1.5% | 219 | 218 | $14K |
| V2521 | Contact lens, hydrophilic, toric, or prism ballast, per lens | 1.5% | 138 | 135 | $14K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 1.4% | 819 | 707 | $13K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | 1.4% | 811 | 703 | $13K |
| V2410 | Variable asphericity lens, single vision, full field, glass or plastic, per lens | 1.3% | 191 | 190 | $12K |
6 more codes
| V2750 | Anti-reflective coating, per lens | 1.0% | 1,270 | $10K |
| V2523 | Contact lens, hydrophilic, extended wear, per lens | <1% | 27 | $3K |
| V2744 | Tint, photochromatic, per lens | <1% | 254 | $2K |
| V2781 | Progressive lens, per lens | <1% | 57 | $2K |
| V2025 | Deluxe frame | <1% | 395 | $29.00 |
| V2799 | Vision item or service, miscellaneous | <1% | 152 | $15.20 |
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 officialSIMMONS, DAVID (NPI ASSOCIATE)
| Provider | Location | Paid |
|---|---|---|
| Community Health Centers of Burlington INC | Burlington, VT | $39.68M |
| Wal-Mart Stores East, L.P | Lewisburg, PA | $1.28M |
| Wal-Mart Stores East, LP | Lancaster, OH | $446K |
| Wal-Mart Stores East, L.P. | Franklin, OH | $301K |
| Wal-Mart Stores East, LP | Arbutus, MD | $287K |
| Wal-Mart Stores East, LP | Duncansville, PA | $227K |
| Wal-Mart Stores East, LP | Glen Burnie, MD | $214K |
| Wal-Mart Stores East, L.P. | Milford, OH | $169K |
| Wal-Mart Stores East, LP | Uniontown, PA | $162K |
| Wal-Mart Stores Texas, LP | Garland, TX | $159K |
| Wal-Mart Stores East, LP | Streetsboro, OH | $135K |
| Wal-Mart Stores East, LP | Dearborn, MI | $106K |
| Wal-Mart Stores East, L.P. | Warren, PA | $78K |
| Wal-Mart Stores East, L.P. | Tamaqua, PA | $58K |
| Wal-Mart Stores East, L.P. | Elizabethville, PA | $39K |
| Wal-Mart Stores INC. | Freeport, IL | $31K |
| Wal-Mart Stores East, LP | Monona, WI | $20K |
| Wal-Mart Stores, INC | Crystal Lake, IL | $20K |
| Wal-Mart Stores East, LP | Bernalillo, NM | $16K |
| Wal-Mart Stores East, L.P. | Maryville, TN | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.