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

Why is the Medicaid comparison limited to Montana 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. Montana (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.

Costco Wholesale Corporation (NPI 1376653998)

Field	Value
Entity Type	Organization
Organization	Costco Wholesale Corporation
Address	2505 Catron St
City	Bozeman
State	MT
ZIP	59718
Taxonomy	Community/Retail Pharmacy
NPI Enumerated	August 30, 2006

Payer Source	Total Paid
Medicare	$270.6K
Medicaid	$0

Key Findings

COSTCO WHOLESALE CORPORATION in BOZEMAN, MT shows a Medicare-centered revenue profile with $270.6K in lifetime Medicare revenue and no Medicaid billing on file, making its operating footprint effectively single-payer for the data available. The absence of any Medicaid claims implies that Medicaid beneficiaries are not a reporting source of revenue for this NPI in the dataset provided.

Revenue is highly concentrated in a small set of vaccine products: 90694 ($69.4K), 91320 ($69K), and 91322 ($42.2K) together account for 66.7% of this provider’s total Medicare revenue. This concentration signals that a limited set of immunization products drives the majority of billed Medicare dollars rather than a broad menu of pharmacy services.

The code mix and top-revenue items indicate a retail/community pharmacy model focused on adult immunizations and COVID-19 services: 90694 (influenza vaccine), 91320 and 91322 (SARS–CoV–2 vaccine products), plus administration codes such as 90480 (857 claims, $34.3K) and G0008 (914 claims, $27.4K). High claim counts for both vaccine product and administration codes show the operation is delivering point-of-care immunizations at scale rather than primarily dispensing chronic medications.

Competitive standing on Medicare varies by code: 90694 ranks #134 of 51679 providers (100th percentile) and is flagged as notably above typical national volume, indicating national prominence for that influenza vaccine product. The SARS–CoV–2 vaccine product 91320 ranks #406 of 27083 providers (98th percentile) and 91322 ranks #1824 of 29357 providers (94th percentile), reflecting strong but more typical national participation for COVID-19 vaccine products.

Several administration and ancillary codes reinforce the immunization focus but show differing market positions: G0008 (influenza administration) ranks #256 of 119096 providers (100th percentile) and 90480 (COVID-19 administration) ranks #203 of 46950 providers (100th percentile), both consistent with very high national vaccination throughput. By contrast, K1034 (self-administered COVID-19 test) accounts for $3.1K (1.1% of Medicare revenue) with 620 claims and ranks #12679 of 30143 providers (58th percentile), signaling only modest participation in test dispensing relative to peers.

The provider demonstrates pockets of high relative volume even for smaller-dollar codes: 90694’s 913 claims and $69.4K in revenue and G0008’s 914 claims and $27.4K revenue illustrate that immunization encounters are frequent and can drive substantial claim volume even when average paid/claim is modest. This pattern—high claim counts with moderate per-claim payments—is characteristic of point-of-care retail immunization services.

From a payer-mix and strategic perspective, the lack of Medicaid billing on file means Medicaid is currently not a measurable revenue channel for this NPI, concentrating risk and reimbursement dependence on Medicare and commercial payers. Analysts should treat Medicaid as functionally absent in this profile when modeling payer exposure or considering network participation.

The provider has a long active tenure in the NPI registry, enumerated on 2006-08-30 (~20 years ago), which supports interpretation of the observed billing patterns as stable business activity rather than a short-lived reporting artifact. Combined with the percentile rankings on key vaccines, tenure adds weight to the conclusion that this site is an established retail immunization point with sustained Medicare billing history.

Medicare: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90694	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…	910	$80	$69.4K
91320	This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.	540	$130	$69K
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.	300	$140	$42.2K
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.	860	$40	$34.3K
G0008	Administration of influenza virus vaccine	910	$30	$27.4K
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	$11.8K
0124A	N/A	120	$40	$5K
91304	This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to prevent the patient from contracting COVID–19. The dosage is 5 mcg/0.5 mL.	30	$150	$3.6K
0134A	N/A	90	$40	$3.6K
K1034	Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count	620	$10	$3.1K

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Costco Wholesale Corporation — 4 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
K1034	17	60	330	$10	$33.8K
91320	3	80	100	$130	$20.9K
91322	6	90	110	$140	$18.7K
91304	3	10	20	$140	$13.2K
90694	3	160	40	$70	$7.7K
90677	21	170	20	$280	$7.5K
90480	2	140	140	$40	$6.7K
G0008	3	330	50	$30	$3.4K
0124A	7	60	30	$40	$2.1K
0134A	6	60	20	$40	$1.5K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Costco Wholesale Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wojj Pediatric Dentistry	MT	Dental Clinic/Center	$0	$3.3M
Smiles Across Montana	MT	Dental Hygienist	$0	$1.9M
West Bozeman Surgery Center, LLC	MT	Ambulatory Surgical Clinic/Center	$1.9M	$55K
Psychiatry Associates PC	MT	Psychiatry Physician	$0	$1.4M
Marc Comaratta	MT	Retina Specialist (Ophthalmology) Physician	$1.2M	$124.7K
Foundation Therapy Services Inc	MT	Speech-Language Pathologist	$0	$1.1M
Lincare Inc.	MT	Durable Medical Equipment & Medical Supplies	$0	$1M
Montana Psychiatry, PLLC	MT	Psychiatry Physician	$0	$1M
Kenneth Olson	MT	Addiction Psychiatry Physician	$29.3K	$809.9K
Aaron Bruce	MT	Dermatology Physician	$682.7K	$0

Costco Wholesale Corporation — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References