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NPI 1043707987 · Madison, WI · Long Term Care Pharmacy
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Guardian Pharmacy Of Madison, LLC is a long term care pharmacy provider located in Madison, Wisconsin. This profile covers 7 Medicare and 14 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 | Guardian Pharmacy Of Madison, LLC |
| Address | 3250 Kingsley Way |
| City | Madison |
| State | WI |
| ZIP | 53713 |
| Taxonomy | Long Term Care Pharmacy |
| NPI Enumerated | April 17, 2018 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $644.2K |
| Medicare | $147.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 500 | $140 | $71.8K |
| 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… | 270 | $80 | $20.1K |
| 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. | 500 | $40 | $19.6K |
| 90662 | This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection… | 220 | $70 | $15.5K |
| G0008 | Administration of influenza virus vaccine | 510 | $30 | $14.4K |
| 0124A | N/A | 140 | $40 | $5.5K |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 30 | $20 | $730 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
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.
14 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A9150 | Non-prescription drugs | 18,660 | $30 | $578.6K |
| H0034 | Medication training and support, per 15 minutes | 3,360 | $20 | $57.2K |
| 0012A | N/A | 50 | $40 | $1.8K |
| 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. | 10 | $130 | $1.6K |
| 0064A | N/A | 50 | $30 | $1.5K |
| 0011A | N/A | 50 | $30 | $1.2K |
| 0124A | N/A | 30 | $40 | $910 |
| 0013A | N/A | 20 | $40 | $860 |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 50 | $10 | $420 |
| 0001A | N/A | 10 | $20 | $200 |
Showing 1–10 of 14
How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Wisconsin median
14 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A9150 | Non-prescription drugs | 3 | 90 | 310 | $30 | $74.8K |
| H0034 | Medication training and support, per 15 minutes | 4 | 20 | 1,400 | $20 | $41.2K |
| 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. | 127 | 130 | 30 | $80 | $8K |
| 0001A | N/A | 451 | 460 | 120 | $30 | $7K |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 531 | 910 | 80 | $10 | $6.4K |
| 0012A | N/A | 181 | 310 | 60 | $30 | $3.5K |
| 0011A | N/A | 214 | 340 | 70 | $30 | $3K |
| 0124A | N/A | 130 | 200 | 40 | $30 | $2.5K |
| 0013A | N/A | 17 | 30 | 40 | $30 | $2.3K |
| 0064A | N/A | 84 | 180 | 50 | $30 | $2.1K |
Showing 1–10 of 14
Other providers in the same ZIP code as Guardian Pharmacy Of Madison, LLC, ranked by combined Medicare and Medicaid revenue.
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