Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Mexico for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Mexico only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Mexico (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Cvs Pharmacy Inc. (NPI 1083844336)

Field	Value
Entity Type	Organization
Organization	Cvs Pharmacy Inc.
Address	9640 Menaul Blvd Ne
City	Albuquerque
State	NM
ZIP	87112
Taxonomy	Pharmacy
NPI Enumerated	July 21, 2009

Payer Source	Total Paid
Medicare	$74.1K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

8 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.	220	$130	$28K
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…	160	$80	$11.9K
K1034	Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count	1,080	$10	$11.9K
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.	220	$40	$8.6K
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…	20	$280	$5.6K
G0008	Administration of influenza virus vaccine	180	$30	$5.1K
0124A	N/A	70	$40	$2.7K
G0009	Administration of pneumococcal vaccine	20	$10	$240

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Mexico Distribution

Cvs Pharmacy Inc. — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
91320	20	120	70	$130	$15.2K
90677	150	250	30	$280	$8.3K
K1034	27	140	440	$10	$7.2K
90694	27	200	40	$70	$5.5K
90480	61	250	120	$30	$5.3K
G0008	101	480	60	$30	$3K
0124A	18	90	40	$40	$2.2K
G0009	165	270	30	$30	$780

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
El Mirador Incorporated	NM	Home Health Agency	$0	$100.9M
Arca	NM	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$91.7M
St. Anthony's Home Healthcare Service, LLC	NM	Home Health Agency	$0	$51.4M
Unica	NM	Community/Behavioral Health Agency	$0	$12.5M
Tasker Hatch Rowan LLC	NM	Dentist	$0	$9.8M
Quilted Care Ltd. Co.	NM	Assisted Living Facility	$0	$7.5M
Choice Recovery Path LLC	NM	Substance Use Disorder Rehabilitation Clinic/Center	$0	$3.4M
Bio-medical Applications Of New Mexico, Inc.	NM	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.1M
Foust Behavioral Services, LLC	NM	Social Worker	$0	$1.7M
Modern Pain & Spine PC	NM	Interventional Pain Medicine Physician	$0	$1.6M

Cvs Pharmacy Inc. — Billing Profile & Reimbursement Data

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Cvs Pharmacy Inc. — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References