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

Why is the Medicaid comparison limited to Nebraska 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. Nebraska (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 1417105701)

Field	Value
Entity Type	Organization
Organization	Wal-mart Stores, Inc.
Address	1606 South 72nd Street
City	Omaha
State	NE
ZIP	68124
Taxonomy	Optician
NPI Enumerated	August 29, 2008

Payer Source	Total Paid
Medicaid	$204.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
V2020	Frames, purchases	5,140	$20	$87.4K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	2,890	$20	$63.5K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	1,100	$20	$24.3K
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	440	$50	$20.7K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	400	$20	$8K
V2107	Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens	10	$20	$200
V2799	Vision item or service, miscellaneous	10	$10	$70

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nebraska Distribution

Wal-mart Stores, Inc. — 2 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. Nebraska median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
V2020	Frames, purchases	10	180	520	$30	$39.5K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	18	100	220	$30	$29K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	6	110	290	$20	$18.4K
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	4	30	60	$50	$11.8K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	7	20	110	$30	$10.6K
V2107	Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens	7	10	30	$20	$710
V2799	Vision item or service, miscellaneous	1	10	10	$10	$70

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
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
Walmart Inc.	KS	Community/Retail Pharmacy	$118K	$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
Alegent Health Bergan Mercy Health System	NE	General Acute Care Hospital	$0	$45.8M
Alegent Creighton Clinic	NE	Family Medicine Physician	$0	$43.2M
Childrens Home Healthcare	NE	Home Health Agency	$0	$40M
Maxim Healthcare Services, Inc.	NE	Home Health Agency	$0	$29.7M
Lutheran Family Services Of Ne, Inc	NE	Mental Health Counselor	$0	$5.8M
Epn Of Nebraska LLC	NE	Emergency Medicine Physician	$0	$5.6M
Ralph Hauke	NE	Hematology & Oncology Physician	$2.5M	$0
Pediatric Dental Specialists Of Greater Nebraska - Omaha, LLC	NE	Pediatric Dentistry	$0	$2.5M
Osc LLC	NE	Ambulatory Surgical Clinic/Center	$1.3M	$799.9K
Shoptikal LLC	NE	Eyewear Supplier	$0	$1.9M

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