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NPI 1013018910 · Bismarck, ND · Community/Retail Pharmacy
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Mayo Pharmacy Inc is a community/retail pharmacy provider located in Bismarck, North Dakota. This profile covers 10 Medicare and 10 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 | Mayo Pharmacy Inc |
| Address | 303 North 4th Street |
| City | Bismarck |
| State | ND |
| ZIP | 58501 |
| Taxonomy | Community/Retail Pharmacy |
| NPI Enumerated | September 26, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.2M |
| Medicare | $64.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 190 | $130 | $24.7K |
| 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… | 150 | $80 | $11.7K |
| 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. | 230 | $40 | $9.2K |
| 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. | 40 | $140 | $5.1K |
| G0008 | Administration of influenza virus vaccine | 170 | $30 | $5K |
| 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… | 10 | $280 | $3.4K |
| 0134A | N/A | 70 | $40 | $2.8K |
| 0124A | N/A | 40 | $40 | $1.4K |
| 90674 | This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL… | 10 | $30 | $430 |
| G0009 | Administration of pneumococcal vaccine | 10 | $30 | $360 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A4230 | Infusion set for external insulin pump, non needle cannula type | 1,570 | $330 | $523K |
| A4232 | Syringe with needle for external insulin pump, sterile, 3 cc | 1,560 | $100 | $161.8K |
| A9276 | Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply | 110 | $1,450 | $153.4K |
| A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 1,370 | $70 | $101.3K |
| A4224 | Supplies for maintenance of insulin infusion catheter, per week | 2,870 | $30 | $94.8K |
| E0784 | External ambulatory infusion pump, insulin | 40 | $2,590 | $90.7K |
| A4225 | Supplies for external insulin infusion pump, syringe type cartridge, sterile, each | 690 | $40 | $24.8K |
| K0553 | Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 300 | $50 | $13.5K |
| A9277 | Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system | 100 | $1 | $290 |
| 91301 | N/A | 20 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other North Dakota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Dakota median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A4230 | Infusion set for external insulin pump, non needle cannula type | 1 | 10 | 1,570 | $330 | $522.7K |
| A4232 | Syringe with needle for external insulin pump, sterile, 3 cc | 1 | 10 | 1,560 | $100 | $161.4K |
| A9276 | Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply | 1 | 10 | 110 | $1,450 | $153.4K |
| A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 1 | 10 | 1,370 | $70 | $101K |
| A4224 | Supplies for maintenance of insulin infusion catheter, per week | 1 | 10 | 2,870 | $30 | $94K |
| E0784 | External ambulatory infusion pump, insulin | 1 | 10 | 40 | $2,590 | $90.6K |
| A4225 | Supplies for external insulin infusion pump, syringe type cartridge, sterile, each | 1 | 10 | 690 | $40 | $24.8K |
| K0553 | Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 1 | 10 | 300 | $40 | $13.5K |
| A9277 | Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system | 1 | 10 | 100 | $1 | $290 |
| 91301 | N/A | 21 | 20 | 100 | $0 | $0 |
Other providers in the same ZIP code as Mayo Pharmacy Inc, ranked by combined Medicare and Medicaid revenue.
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