Costco Wholesale Corporation — Billing Profile & Reimbursement Data
NPI 1912230376 · New York, NY · Community/Retail Pharmacy
Customize your policy alerts
Sign up for Costco Wholesale Corporation — Billing Profile & Reimbursement Data policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Costco Wholesale Corporation is a community/retail pharmacy provider located in New York, New York. This profile covers 6 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.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Costco Wholesale Corporation |
| Address | 517 E 117th St |
| City | New York |
| State | NY |
| ZIP | 10035 |
| Taxonomy | Community/Retail Pharmacy |
| NPI Enumerated | September 16, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $21.3K |
| 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.
6 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… | 60 | $80 | $4.7K |
| 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. | 30 | $140 | $4.3K |
| 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. | 30 | $130 | $4.2K |
| 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. | 80 | $40 | $3.6K |
| 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. | 20 | $150 | $2.6K |
| G0008 | Administration of influenza virus vaccine | 60 | $30 | $1.9K |
Medicare: Competitive Analysis & Benchmarks
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.
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 |
|---|---|---|---|---|
| Ses Operating Corp | NY | Primary Care Clinic/Center | $340.7K | $90M |
| The Institute For Family Health | NY | Family Medicine Physician | $0 | $80.7M |
| The New York Proton Center | NY | Radiation Oncology Clinic/Center | $0 | $22.7M |
| Michael Rothstein | NY | Family Nurse Practitioner | $1.4M | $193.1K |
| Charles Simone | NY | Radiation Oncology Physician | $583.8K | $0 |
| Solomon Aluko | NY | Family Nurse Practitioner | $70.2K | $111.6K |
| Jason Ogiste | NY | Urology Physician | $126.4K | $0 |
| Nina Ragaz | NY | Family Medicine Physician | $63.4K | $0 |
| Angela Amoako | NY | Medical Physician Assistant | $23.8K | $0 |
| Panagiota Korenis | NY | Psychiatry Physician | $9.4K | $5.4K |
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 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.