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 1083711451)

Field	Value
Entity Type	Organization
Organization	Wal-mart Stores, Inc.
Address	3820 7th Ave Se
City	Aberdeen
State	SD
ZIP	57401
Taxonomy	Eyewear Supplier
NPI Enumerated	September 20, 2006

Payer Source	Total Paid
Medicaid	$59.5K
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	1,140	$40	$41K
V2199	Not otherwise classified, single vision lens	800	$20	$18.5K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	20	$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	42	110	550	$50	$82K
V2199	Not otherwise classified, single vision lens	40	100	410	$60	$75.3K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	13	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
Adjustment Training Center, Inc.	SD	Developmentally Disabled Services Day Training Agency	$0	$40.3M
Northeastern Mental Health Center	SD	Mental Health Counselor	$0	$10.1M
Vision Care Associates, LLP	SD	Optometrist	$0	$6M
Sanford Health Network	SD	General Acute Care Hospital	$0	$4.4M
John Bormes	SD	Ophthalmology Physician	$2.6M	$0
Avera St. Luke's	SD	Family Medicine Physician	$0	$2.3M
Sanford Health Network	SD	General Acute Care Hospital	$0	$1.9M
Avera At Home	SD	Home Health Agency	$0	$1.6M
Avera St Lukes	SD	General Acute Care Hospital	$0	$1.5M
Ty Hanson	SD	Dermatology Physician	$1.2M	$0

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