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 1649380262)

Field	Value
Entity Type	Organization
Organization	Costco Wholesale Corporation
Address	3220 N Reserve St
City	Missoula
State	MT
ZIP	59808
Taxonomy	Community/Retail Pharmacy
NPI Enumerated	August 30, 2006

Payer Source	Total Paid
Medicare	$269.9K
Medicaid	$0

Key Findings

This entity is effectively a Medicare-focused retail immunization and related services operation: total Medicare revenue is $269.9K and the top revenue drivers are vaccine products and vaccine administration codes, led by 90694 (1K claims, $76 avg paid/claim, $78.6K revenue, 29.1%). The code mix — multiple influenza and SARS–CoV–2 vaccine product codes plus administration codes like G0008 and 90480 — is consistent with a community/retail pharmacy model that primarily delivers immunizations and brief point-of-care services to Medicare beneficiaries.

Revenue concentration is high and concentrated in a small set of vaccine products: the precomputed measure shows the top 3 Medicare codes by revenue account for 66.0% of this provider's total Medicare revenue. That concentration indicates business risk and opportunity tied to a narrow set of products (notably 90694, 91320, and 91322), so swings in vaccine demand, reimbursement, or seasonality could materially affect overall revenue.

This provider is effectively single-payer at present: Medicare revenue of $269.9K is reported while Medicaid revenue is none (no Medicaid billing on file). The absence of any Medicaid billing on file suggests the organization does not participate meaningfully in state Medicaid programs in this market or its Medicaid activity is routed through other entities.

Competitive standing on national vaccine volumes is mixed but includes strong outperformance for seasonal influenza: 90694 ranks #83 of 51679 providers nationally (100th percentile) and is described as notably above typical national volume for this code, indicating a significant national-level presence for that influenza formulation. For COVID-19 vaccine product codes, 91320 (449 claims, $128 avg paid/claim, $57.5K revenue, 21.3%) ranks #736 of 27083 (97th percentile) and 91322 (297 claims, $143 avg paid/claim, $42.5K revenue, 15.7%) ranks #1795 of 29357 (94th percentile), both of which indicate solid but less dominant national positioning compared to 90694.

Service-line detail: administration codes and low-acuity diagnostic/test codes support a high-throughput retail immunization workflow. G0008 (1K claims, $30 avg paid/claim, $30.8K revenue, 11.4%) and 90480 (777 claims, $40 avg paid/claim, $31.1K revenue, 11.5%) reflect widespread vaccine administration activity, while K1034 (775 claims, $5 avg paid/claim, $3.9K revenue, 1.4%) shows participation in provision of over-the-counter COVID-19 tests, consistent with a pharmacy offering both immunizations and ancillary public-health services.

Tenure and stability: the NPI was enumerated on 2006-08-30 (~20 years ago), indicating long-standing Medicare enrollment which can support ongoing payer relationships and operational stability in the market. That longevity, combined with concentrated vaccine volumes, suggests an established immunization program rather than a recent, ad hoc entrant.

Statistical standing across codes shows both outlier-level and typical participation: 90694 is characterized as notably above typical national volume (100th percentile), whereas several high-frequency administration and COVID vaccine codes (G0008, 90480, 91320, 91322) are described as typical or unremarkable volumes but still at high national percentiles (e.g., 90480 ranks #272 of 46950, 99th percentile). Lower-revenue codes like 90677, 0124A, and K1034 fall into more typical percentile bands, indicating normal variation around a core immunization service set.

Medicare: Complete Services Breakdown

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

12 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…	1,030	$80	$78.6K
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.	450	$130	$57.5K
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	$42.5K
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.	780	$40	$31.1K
G0008	Administration of influenza virus vaccine	1,030	$30	$30.8K
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	$10.7K
0124A	N/A	130	$40	$5.3K
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	$4.5K
0134A	N/A	100	$40	$4.1K
K1034	Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count	780	$10	$3.9K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Costco Wholesale Corporation — 4 of 12 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

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
K1034	9	60	330	$10	$33.8K
91320	6	80	100	$130	$20.9K
91322	5	90	110	$140	$18.7K
91304	2	10	20	$140	$13.2K
90694	2	160	40	$70	$7.7K
90677	26	170	20	$280	$7.5K
90480	3	140	140	$40	$6.7K
G0008	2	330	50	$30	$3.4K
0124A	6	60	30	$40	$2.1K
0134A	4	60	20	$40	$1.5K

Showing 1–10 of 12

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
Consumer Direct Care Network Virginia	MT	Home Health Agency	$0	$2.1B
Consumer Direct Personal Care, LLC	MT	In Home Supportive Care Agency	$0	$49.1M
Hkj Inc	MT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.2M
We Care Behavioral Health LLC	MT	Clinic/Center	$0	$14.8M
Partners In Home Care, Inc	MT	Nursing Care Agency	$0	$13M
Hkj Inc	MT	Case Management Agency	$0	$11.6M
Sunburst Health LLC	MT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.1M
Providence Health & Services Mt	MT	Family Medicine Physician	$0	$4.9M
Welltower Tenant Group LLC	MT	Assisted Living Facility	$0	$3.8M
Norco, Inc	MT	Durable Medical Equipment & Medical Supplies	$0	$3.8M

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