WAL-MART STORES, INC. DBA WAL-MART SOS Verified
3950 W. LAKE MEAD BLVD, NORTH LAS VEGAS, NV 89032
NPI Number
1902937402
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: Mart Stores, Inc.
Entity Number: E51363282025-6
Entity Type: Domestic Corporation
Entity Status: Active
Formation Date: 2025-08-27
Status Changed: 2025-08-27
Name Match: 85%
Registered Agent
Name: PROUD CLIENTS, INC.
Type: Commercial Registered Agent
Address: 2801 S. Valley View Blvd. Suite #15, Las Vegas, NV, 89102
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Director | Richard Patel | 1801 E. Charleston Blvd., Las Vegas, NV | Active |
| President | Richard Patel | 1801 E. Charleston Blvd., Las Vegas, NV | Active |
| Secretary | Richard Patel | 1801 E. Charleston Blvd., Las Vegas, NV | Active |
| Treasurer | Richard Patel | 1801 E. Charleston Blvd., Las Vegas, NV | Active |
Total Medicaid Payments
$11,295
-95% vs specialty average
Patients Seen
643
Total Claims
644
$ Per Patient
$18
Specialty avg: $21
Specialty Rank
#12 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 |
|---|---|---|
| 2021 | $1,143 | |
| 2022 | $2,948 | |
| 2023 | $4,830 | |
| 2024 | $2,374 |
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 | 424 | $7,655 | 67.8% | $18 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 158 | $2,710 | 24.0% | $17 |
| V2750 | Anti-reflective coating, per lens | 62 | $930 | 8.2% | $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.