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NPI 1063624328 · Gretna, NE · Long Term Care Pharmacy
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Community Pharmacy Services LLC is a long term care pharmacy provider located in Gretna, Nebraska. This profile covers 4 Medicare and 17 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 | Community Pharmacy Services LLC |
| Address | 21689 Northstar Dr |
| City | Gretna |
| State | NE |
| ZIP | 68028 |
| Taxonomy | Long Term Care Pharmacy |
| NPI Enumerated | May 7, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $152.1K |
| Medicare | $29.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 210 | $70 | $15K |
| 0124A | N/A | 220 | $40 | $8.4K |
| G0008 | Administration of influenza virus vaccine | 200 | $30 | $5.9K |
| 91312 | N/A | 50 | $0 | $0 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 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.
17 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A4520 | Incontinence garment, any type, (e.g., brief, diaper), each | 1,110 | $70 | $79.8K |
| B4150 | Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100… | 640 | $50 | $29.4K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 240 | $90 | $21.2K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 90 | $90 | $7.9K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 240 | $20 | $5.7K |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | 50 | $70 | $3.6K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 30 | $80 | $2.6K |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 160 | $1 | $630 |
| 0002A | N/A | 460 | $1 | $460 |
| 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… | 130 | $1 | $250 |
Showing 1–10 of 17
How this provider's Medicaid billing volume and revenue compare to other Nebraska providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Nebraska median
17 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| B4150 | Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100… | 9 | 20 | 280 | $110 | $133.5K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 11 | 20 | 300 | $120 | $110.1K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 14 | 20 | 190 | $130 | $104.1K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 6 | 10 | 50 | $150 | $71.3K |
| A4520 | Incontinence garment, any type, (e.g., brief, diaper), each | 2 | 10 | 610 | $70 | $44.5K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 14 | 30 | 240 | $30 | $40.9K |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | 4 | 10 | 100 | $130 | $35K |
| 0002A | N/A | 5 | 30 | 60 | $30 | $9K |
| 0001A | N/A | 5 | 40 | 40 | $30 | $5.7K |
| 0124A | N/A | 5 | 30 | 40 | $30 | $4.8K |
Showing 1–10 of 17
Other providers in the same ZIP code as Community Pharmacy Services LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Lukis Counseling Inc | NE | Counselor | $0 | $797K |
| Cheryl Chapman | NE | Optometrist | $39.7K | $0 |
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