Supplier
Costco Wholesale Corporation
Costco Wholesale Corporation was paid $94K by Medicaid between Jan 2023 and Oct 2024, across 10 billing codes. Its largest line is V2020, Frames, purchases — 49% of everything it billed.
33Billing provider infoCOSTCO WHOLESALE CORPORATION
ISSAQUAH, WA 98027
ISSAQUAH, WA 98027
33aNPI1285025403assigned 02/10/2015
33bProvider typeEyewear Supplier
28Total paid$94K
24GClaims2,485
24DCodes billed10
24AFirst – last monthJan 2023 – Oct 2024
Compared with peers
Next to other Eyewear Supplier providers in Washington
Rank by total paid#7 of 19
Median peer was paid$33K
This provider vs. median2.9×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 1,691 | $76K | |
| 2024incomplete | 794 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 49% | 556 | 540 | $46K |
| V2781 | Progressive lens, per lens | 23% | 343 | 336 | $21K |
| V2750 | Anti-reflective coating, per lens | 13% | 563 | 545 | $12K |
| V2744 | Tint, photochromatic, per lens | 5.8% | 407 | 400 | $5K |
| V2783 | Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens | 5.3% | 245 | 242 | $5K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.3% | 93 | 91 | $2K |
| V2762 | Polarization, any lens material, per lens | 1.4% | 186 | 182 | $1K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 13 | 13 | $429.90 |
| V2782 | Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens | <1% | 46 | 46 | $307.20 |
| V2745 | Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens | 0% | 33 | 32 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSALAS, ART (AVP OPTICAL)
Parent organizationCOSTCO WHOLESALE CORPORATION