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    OpenPayerNPI Medicare & MedicaidWal-mart Stores Texas LLC
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    Wal-mart Stores Texas LLC — Billing Profile & Reimbursement Data

    NPI 1366976060 · Sugar Land, TX · Pharmacy

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    Wal-mart Stores Texas LLC is a pharmacy provider located in Sugar Land, Texas. This profile covers 8 Medicare and 0 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
    OrganizationWal-mart Stores Texas LLC
    Address13322 West Airport Blvd
    CitySugar Land
    StateTX
    ZIP77478
    TaxonomyPharmacy
    NPI EnumeratedApril 19, 2017

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

    Payer SourceTotal Paid
    Medicare$26.4K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    91322This 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.60$140$7.9K
    90662This 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…70$70$5K
    90677This 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…10$280$3.9K
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count310$10$3.1K
    G0008Administration of influenza virus vaccine110$30$3.1K
    90682This 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$2.6K
    90480The 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–19.60$10$620
    G0009Administration of pneumococcal vaccine20$20$270

    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

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    K10341,6302,490450$10$117.8K
    913229601,99050$140$11K
    906772,7633,58020$280$7.5K
    906621,5175,11040$70$4.7K
    904801,9323,06080$30$3.3K
    9068244020$70$3K
    G00081,8187,86050$30$2.3K
    G00092,7573,83020$30$700

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wal-mart Stores Texas LLCTXCommunity/Retail Pharmacy$121K$0
    Wal-mart Stores East LPOKCommunity/Retail Pharmacy$91.1K$0
    Wal-mart Stores Texas LLCTXCommunity/Retail Pharmacy$71.7K$0
    Wal-mart Stores Texas LLCTXCommunity/Retail Pharmacy$58.4K$0
    Wal-mart Stores Texas LLCTXCommunity/Retail Pharmacy$57.4K$0
    Wal-mart Stores Texas LLCTXCommunity/Retail Pharmacy$50.2K$0
    Wal-mart Stores Texas LLCTXCommunity/Retail Pharmacy$36.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Miracle Hands Healthcare ServicesTXHome Health Agency$0$65.9M
    Night-light After Hours Pediatrics PLLCTXUrgent Care Clinic/Center$0$35.1M
    Incarnation Home Health Services,inc,TXHome Health Agency$0$32.3M
    Med-source Healthcare Services, IncTXHome Health Agency$0$28.4M
    D & D Care Homes, Inc.TXIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$14.6M
    Quintessence Healthcare, IncTXHome Health Agency$0$11.9M
    Ncj Health System IncTXHome Health Agency$0$11.8M
    K2 Holistic Healthcare Services, Inc.TXHome Health Agency$0$11.1M
    Immunogenomics LLCTXClinical Medical Laboratory$227.7K$5.6M
    Topblood LLCTXClinical Medical Laboratory$4.7M$630

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Wal-mart Stores Texas LLC — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas