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    OpenPayerNPI Medicare & MedicaidCvs Pharmacy Inc
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    Cvs Pharmacy Inc — Billing Profile & Reimbursement Data

    NPI 1063512499 · Falmouth, MA · Pharmacy

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    Cvs Pharmacy Inc is a pharmacy provider located in Falmouth, Massachusetts. This profile covers 13 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCvs Pharmacy Inc
    Address105 Davis Straits
    CityFalmouth
    StateMA
    ZIP02540
    TaxonomyPharmacy
    NPI EnumeratedSeptember 25, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$756.9K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    91320This 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.2,380$130$304K
    90694This 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…1,460$80$109.8K
    90480The 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–19.2,380$40$102.3K
    G0008Administration of influenza virus vaccine2,210$30$68.4K
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count5,300$10$63.6K
    90662This 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…660$70$47.4K
    90677This 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…140$280$38.8K
    0124AN/A370$50$16.8K
    0121AN/A50$50$2.1K
    90732The provider intramuscularly or subcutaneously injects pneumococcal polysaccharide vaccine in an individual two years or older. This vaccine provides protection against meningitis and pneumonia that…20$130$2K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    91320164080$130$25.1K
    K1034117001,190$10$16.5K
    9048021,130160$40$9.4K
    9069431,53050$70$8.6K
    90677121,81020$280$7.7K
    9066212,19040$70$5.1K
    G000823,49040$30$3.5K
    0124A647040$40$3K
    907324110010$130$2.5K
    0121A48020$40$970

    Showing 1–10 of 13

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Cvs Pharmacy Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cvs Pharmacy, Inc.RIPharmacy$0$778.1K
    Cvs Pharmacy IncMAPharmacy$456.6K$0
    Cvs Pharmacy IncMAPharmacy$407.4K$0
    Cvs Pharmacy IncMAPharmacy$329.2K$0
    Cvs Pharmacy IncMAPharmacy$302K$0
    Cvs Pharmacy IncMAPharmacy$285K$0
    Cvs Pharmacy IncMAPharmacy$283.2K$0
    Cvs Pharmacy IncMAPharmacy$282.9K$0
    Cvs Pharmacy IncMAPharmacy$267.9K$0
    Cvs Pharmacy IncMAPharmacy$260.6K$0

    Nearby Providers

    Other providers in the same ZIP code as Cvs Pharmacy Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gosnold, Inc.MAChildren's Substance Abuse Rehabilitation Facility$0$27.6M
    Falmouth Hospital Association IncMAGeneral Acute Care Hospital$0$25.4M
    Trinity Hospice LLCMACommunity Based Hospice Care Agency$0$11.5M
    Town Of FalmouthMALand Ambulance$1.1M$1.9M
    James BleilerMAUrology Physician$941K$0
    John HostetterMACardiovascular Disease Physician$397.1K$0
    Paul DimondMAOrthopaedic Surgery Physician$346.8K$0
    Mir ShuttariMAPulmonary Disease Physician$194.9K$130.8K
    David RancourtMAInternal Medicine Physician$315.4K$0
    David WhitneyMAPrimary Podiatric Medicine Podiatrist$300.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Massachusetts Distribution
    Cvs Pharmacy Inc — 10 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts