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 Missouri for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Missouri 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. Missouri (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 East LP (NPI 1134146467)

Field	Value
Entity Type	Organization
Organization	Wal-mart Stores East LP
Address	103 W Polk St
City	Warsaw
State	MO
ZIP	65355
Taxonomy	Community/Retail Pharmacy
NPI Enumerated	July 16, 2006

Payer Source	Total Paid
Medicare	$70.7K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
91322	This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.	200	$140	$27.8K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	230	$70	$15.8K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	40	$280	$11.7K
G0008	Administration of influenza virus vaccine	280	$30	$7.5K
90682	This code represents a quadrivalent flu vaccine given by injection into the muscle. The vaccine is made using recombinant DNA technology and contains only a protein from the virus. It does not…	40	$70	$2.8K
90480	The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.	200	$10	$2.1K
K1034	Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count	190	$10	$1.9K
G0009	Administration of pneumococcal vaccine	40	$20	$820

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Missouri Distribution

Wal-mart Stores East LP — 2 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
91322	64	590	80	$140	$14.5K
K1034	474	590	360	$10	$8.6K
90677	118	990	20	$270	$7.4K
90662	63	1,510	40	$70	$4.6K
90480	187	950	100	$30	$4.3K
G0008	116	2,260	50	$30	$2.5K
90682	2	30	10	$70	$1.2K
G0009	140	1,060	20	$30	$730

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Achieving Lifeskills @ Mo LLC	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$15.6M
Samuel And Jill Hieronymus	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$8.2M
Warsaw-lincoln Ambulance District	MO	Land Ambulance	$357.7K	$2M
Jaima Becker	MO	Family Nurse Practitioner	$61.1K	$0

Wal-mart Stores East LP — Billing Profile & Reimbursement Data

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Wal-mart Stores East LP — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References