Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › ERIE › WAL-MART STORES EAST, LP

WAL-MART STORES EAST, LP

NPI: 1992888465 · ERIE, PA 16504 · Optician · NPI assigned 10/20/2006

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

Authorized official GENTILE, NICOLE controls 20+ related entities in our dataset. Read more

$31K
Total Medicaid Paid
1,057
Total Claims
851
Beneficiaries
6
Codes Billed
2020-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGENTILE, NICOLE (NPI COORDINATOR)
NPI Enumeration Date10/20/2006

Related Entities

Other providers sharing the same authorized official: GENTILE, NICOLE

ProviderCityStateTotal Paid
WAL-MART STORES TEXAS, LP LAKE JACKSON TX $632K
WAL-MART STORES TEXAS, LP BAYTOWN TX $595K
WAL-MART STORES TEXAS, LP PASADENA TX $497K
WAL-MART STORES TEXAS, LP ALVIN TX $483K
WAL-MART STORES EAST, LP CINCINNATI OH $464K
WAL-MART STORES TEXAS, LP BRYAN TX $440K
WAL-MART STORES TEXAS, LP SAN ANTONIO TX $437K
WAL-MART STORES TEXAS, LP HOUSTON TX $418K
WAL-MART STORES EAST, LP MADISON OH $403K
WAL-MART STORES TEXAS, LP EDINBURG TX $374K
WAL-MART STORES TEXAS, LP CLEVELAND TX $363K
WAL-MART STORES TEXAS, LP LIVINGSTON TX $318K
WAL-MART STORES EAST, LP LOGAN OH $303K
WAL-MART STORES TEXAS, LP HARLINGEN TX $301K
WAL-MART STORES TEXAS, LP HOUSTON TX $300K
WAL-MART STORES TEXAS, LP SPRING TX $286K
WAL-MART STORES EAST, LP ATHENS OH $276K
WAL-MART STORES EAST, LP NEWARK OH $260K
WAL-MART STORES EAST, LP HAMILTON OH $246K
WAL-MART STORES TEXAS, LP ROUND ROCK TX $240K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 272 $10K
2021 272 $6K
2022 145 $4K
2023 86 $2K
2024 282 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 582 478 $16K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 286 188 $7K
V2025 Deluxe frame 107 107 $5K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 41 38 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 12 12 $492.70
V2750 Anti-reflective coating, per lens 29 28 $361.70