Loading...
NPI 1073897468 · Great Falls, MT · Long Term Care Pharmacy
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Pharmacy Corporation Of America is a long term care pharmacy provider located in Great Falls, Montana. This profile covers 14 Medicare and 33 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 | Pharmacy Corporation Of America |
| Address | 900 13th Ave S |
| City | Great Falls |
| State | MT |
| ZIP | 59405 |
| Taxonomy | Long Term Care Pharmacy |
| NPI Enumerated | October 4, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.4M |
| Medicare | $177.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
14 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. | 360 | $130 | $46K |
| 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. | 180 | $140 | $26.2K |
| M0201 | Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s)… | 620 | $40 | $21.7K |
| 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. | 510 | $40 | $19.9K |
| 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… | 250 | $80 | $19.2K |
| G0008 | Administration of influenza virus vaccine | 560 | $30 | $16.3K |
| 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… | 30 | $280 | $7.8K |
| 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… | 310 | $20 | $6.8K |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 420 | $10 | $5.1K |
| 0134A | N/A | 110 | $40 | $4.3K |
Showing 1–10 of 14
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 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.
33 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A4927 | Gloves, non-sterile, per 100 | 3,750 | $70 | $273.6K |
| T2028 | Specialized supply, not otherwise specified, waiver | 8,080 | $30 | $226.4K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 1,150 | $150 | $176.3K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 1,430 | $110 | $159.2K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 810 | $170 | $137.6K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 820 | $120 | $101.4K |
| L0621 | Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf | 610 | $80 | $48.7K |
| T4537 | Incontinence product, protective underpad, reusable, bed size, each | 1,060 | $50 | $47.5K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | 260 | $170 | $44.4K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 410 | $100 | $40.4K |
Showing 1–10 of 33
How this provider's Medicaid billing volume and revenue compare to other Montana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Montana median
33 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| B4161 | Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding… | 4 | 10 | 540 | $810 | $521.4K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 10 | 20 | 450 | $90 | $189.7K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 4 | 10 | 270 | $130 | $172.1K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 7 | 10 | 720 | $120 | $156.3K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 5 | 10 | 830 | $130 | $138.5K |
| A4927 | Gloves, non-sterile, per 100 | 6 | 20 | 1,750 | $40 | $132.6K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 5 | 10 | 1,060 | $100 | $128.4K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | 3 | 10 | 530 | $230 | $128.1K |
| T4543 | Adult sized disposable incontinence product, protective brief/diaper, above extra large, each | 4 | 10 | 160 | $230 | $120K |
| T4537 | Incontinence product, protective underpad, reusable, bed size, each | 6 | 10 | 840 | $40 | $98.5K |
Showing 1–10 of 33
Other providers in the same ZIP code as Pharmacy Corporation Of America, ranked by combined Medicare and Medicaid revenue.
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.