Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or South Dakota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to South Dakota only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. South Dakota (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Wal-mart Stores, Inc. (NPI 1013092659)

Field	Value
Entity Type	Organization
Organization	Wal-mart Stores, Inc.
Address	3001 Broadway Ave
City	Yankton
State	SD
ZIP	57078
Taxonomy	Eyewear Supplier
NPI Enumerated	October 25, 2006

Payer Source	Total Paid
Medicaid	$88.7K
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
V2020	Frames, purchases	1,490	$40	$59.5K
V2199	Not otherwise classified, single vision lens	1,220	$20	$29.3K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	10	$0	$0

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other South Dakota providers billing the same CPT/HCPCS codes.

Claims Volume vs. South Dakota Distribution

Wal-mart Stores, Inc. — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. South Dakota median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
V2020	Frames, purchases	32	110	550	$50	$82K
V2199	Not otherwise classified, single vision lens	31	100	410	$60	$75.3K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	16	20	40	$20	$5.2K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Wal-mart Stores, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wal-mart Stores, Inc	NE	Eyewear Supplier	$0	$233.1K
Wal-mart Stores, Inc.	NE	Eyewear Supplier	$0	$226.7K
Wal-mart Stores, Inc.	NE	Optician	$0	$204.3K
Walmart Inc.	MT	Community/Retail Pharmacy	$166.7K	$21.9K
Walmart Inc.	KS	Community/Retail Pharmacy	$151.5K	$140
Walmart Inc.	KS	Community/Retail Pharmacy	$140.6K	$80
Walmart Inc.	KS	Community/Retail Pharmacy	$133.3K	$0
Walmart Inc.	WA	Community/Retail Pharmacy	$125.5K	$590
Wal-mart Stores, Inc.	SD	Eyewear Supplier	$0	$124.4K
Walmart Inc.	MN	Community/Retail Pharmacy	$124.3K	$0

Nearby Providers

Other providers in the same ZIP code as Wal-mart Stores, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ability Building Services, Inc.	SD	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$39.2M
Lewis & Clark Behavioral Health Services, Inc.	SD	Community/Behavioral Health Agency	$0	$24M
Yankton Medical Clinic PC	SD	Internal Medicine Physician	$0	$6.3M
Yankton Ph	SD	Assisted Living Facility (Mental Illness)	$0	$4.1M
Cedar Vilage Assisted Living Center	SD	Assisted Living Facility (Mental Illness)	$0	$2.4M
Heartland Psychological Services	SD	Psychiatry Physician	$0	$1.3M
Avera At Home	SD	Home Health Agency	$0	$1M
Sacred Heart Health Services	SD	Rural Acute Care Hospital	$0	$942.8K
Mary Lee Villanueva	SD	Hematology & Oncology Physician	$788.7K	$0
Sacred Heart Health Services	SD	Emergency Care Clinic/Center	$0	$766.6K

Wal-mart Stores, Inc. — Billing Profile & Reimbursement Data

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Wal-mart Stores, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References