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    OpenPayerNPI Medicare & MedicaidWil-mar Corporation
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    Wil-mar Corporation — Billing Profile & Reimbursement Data

    NPI 1144638123 · Sinajana, GU · Community/Retail Pharmacy

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    Wil-mar Corporation is a community/retail pharmacy provider located in Sinajana, Guam. This profile covers 0 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationWil-mar Corporation
    Address736 Route 4
    CitySinajana
    StateGU
    ZIP96910
    TaxonomyCommunity/Retail Pharmacy
    NPI EnumeratedJuly 23, 2014

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$9.4K
    Medicare$0

    Key Findings

    This provider has no Medicare billing on file and appears to operate effectively as a single-payer Medicaid supplier, with lifetime Medicaid revenue of $9.4K reported. The absence of Medicare activity suggests its commercial footprint or Medicare enrollment is minimal or not used for billed services on file.

    Medicaid revenue is highly concentrated: the precomputed top-3 codes account for 99.7% of the provider's Medicaid revenue, driven primarily by A4206 (87.0% of Medicaid revenue, $8.2K), followed by A4253 (11.5%, $1.1K) and A4211 (1.2%, $108). This concentration indicates that a very small set of supply codes dominates the provider’s Medicaid billing.

    Code mix and descriptions point to a community/retail pharmacy model that principally dispenses diabetes and injection supplies rather than a broad clinical service set: A4206 is for syringes with needle (1 cc or less), A4253 is for blood glucose test strips (per 50), and A4259/A4211 relate to lancets and self-injection supplies. The dominance of DME/diabetes-related HCPCS suggests primary operations around over-the-counter or durable medical supplies for self-care.

    Operational scale is modest: A4206 accounted for 816 claims at $10 avg paid/claim ($8.2K revenue), while A4253 logged 60 claims at $18 avg paid/claim ($1.1K revenue); the two largest codes together represent the overwhelming majority of activity. These per-claim averages and low total revenue imply the provider services a limited Medicaid patient base and volumes are small in absolute terms.

    Competitive standing by code is mixed within-state. For its top code A4206 the provider ranks #2 of 8 in-state (86th percentile), indicating a relatively strong position in syringe dispensing for Medicaid in Guam though the descriptor provided labels this as typical, unremarkable volume; for A4253 it ranks #8 of 11 (30th percentile), and for A4211 it ranks #9 of 10 (0th percentile), both indicating modest to minimal participation for those supplies.

    Tenure is established but not long-standing compared with legacy entities: the NPI was enumerated on 2014-07-23 (~12 years ago), which supports a stable operating history but not multi-decade market presence. This duration is consistent with a small, steady retail pharmacy operation servicing Medicaid over multiple years.

    There are no statistical red flags in the supplied labels — all reported codes are described as typical or unremarkable in volume for their respective peer groups. The pattern to monitor is dependency on a single dominant supply code (A4206) for the vast majority of Medicaid revenue, which concentrates business risk and opportunity in syringe/diabetes-supply dispensing rather than a diversified product mix.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A4206Syringe with needle, sterile, 1 cc or less, each820$10$8.2K
    A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips60$20$1.1K
    A4211Supplies for self-administered injections10$10$110
    A4259Lancets, per box of 10030$1$30

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Guam median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A4206Syringe with needle, sterile, 1 cc or less, each210320$10$7.6K
    A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips810130$20$5.8K
    A4211Supplies for self-administered injections910100$10$2.9K
    A4259Lancets, per box of 100810140$1$530

    Nearby Providers

    Other providers in the same ZIP code as Wil-mar Corporation, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rsa - Guam, LLCGUEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$7.4M
    Pacific Med & NephrologyGUMulti-Specialty Clinic/Center$0$2.3M
    Guam Fire DepartmentGULand Ambulance$277.5K$1.3M
    Advanced Eyecare, LLCGUOphthalmology Physician$0$813.8K
    Peter LombardGUOphthalmology Physician$575.7K$0
    Robert NervesGUNephrology Physician$238.7K$0
    Kunsun LeeGUDentist$0$168.2K
    Ideal Vision Center LLCGUClinic/Center$0$81.5K
    Saied SafabakhshGUNephrology Physician$68K$0
    Evangeline ClaassensGUFamily Nurse Practitioner$39.4K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Guam Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Guam Distribution
    Wil-mar Corporation — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Guam