WAL-MART STORES, INC.
5198 BOULDER HWY, LAS VEGAS, NV 89122
NPI Number
1790840692
Practice location · View on Google Maps
SOS Verification: Pending Review
Multiple SOS Matches
Total Medicaid Payments
$39,125
-81% vs specialty average
Patients Seen
2,221
Total Claims
2,230
$ Per Patient
$18
Specialty avg: $21
Specialty Rank
#7 of 24
Eyewear Supplier (Equipment, not the service) providers in Nevada
Peer Average
$211,460
Average total for Eyewear Supplier (Equipment, not the service)
Claims per Patient
1.0
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2019 | $2,268 | |
| 2020 | $3,020 | |
| 2021 | $5,122 | |
| 2022 | $7,708 | |
| 2023 | $11,220 | |
| 2024 | $9,787 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 1,537 | $27,270 | 69.7% | $18 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 647 | $11,160 | 28.5% | $17 |
| V2750 | Anti-reflective coating, per lens | 34 | $510 | 1.3% | $15 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 12 | $185 | 0.5% | $15 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.