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    Basingers Pharmacy Inc — Billing Profile & Reimbursement Data

    NPI 1093720633 · Joliet, IL · Community/Retail Pharmacy

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    Basingers Pharmacy Inc is a community/retail pharmacy provider located in Joliet, Illinois. This profile covers 7 Medicare and 32 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)

    FieldValue
    Entity TypeOrganization
    OrganizationBasingers Pharmacy Inc
    Address2219 W Jefferson St
    CityJoliet
    StateIL
    ZIP60435
    TaxonomyCommunity/Retail Pharmacy
    NPI EnumeratedJuly 30, 2006

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

    Payer SourceTotal Paid
    Medicaid$4M
    Medicare$22.9K

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…40$280$10.5K
    90674This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…90$30$2.8K
    G0008Administration of influenza virus vaccine90$30$2.8K
    91322This 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.20$140$2.4K
    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.20$130$1.9K
    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–19.30$40$1.4K
    G0009Administration of pneumococcal vaccine40$30$1.2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    91322779850110$140$20.6K
    9132083394090$130$17.2K
    906774952,54020$270$8K
    904801,2731,570130$40$5.9K
    G00081,4794,59050$30$2.8K
    906741529020$30$990
    G00095312,73020$30$840

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    32 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T4541Incontinence product, disposable underpad, large, each15,680$70$1M
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each6,020$140$854.1K
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each3,800$180$672.4K
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each3,490$140$481.8K
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each5,160$50$247.5K
    E0570Nebulizer, with compressor1,930$70$139K
    A4927Gloves, non-sterile, per 10016,250$10$130K
    T4544Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each430$270$115.4K
    T4523Adult sized disposable incontinence product, brief/diaper, large, each550$120$65.6K
    K0002Standard hemi (low seat) wheelchair1,050$60$59.9K

    Showing 1–10 of 32

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    32 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    E0603Breast pump, electric (ac and/or dc), any type1930650$100$786K
    T4524Adult sized disposable incontinence product, brief/diaper, extra large, each1920870$70$775.9K
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each21901,400$80$727.1K
    T4541Incontinence product, disposable underpad, large, each211302,190$50$644.7K
    T4523Adult sized disposable incontinence product, brief/diaper, large, each1330420$50$640.2K
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each20801,230$100$639.8K
    T4522Adult sized disposable incontinence product, brief/diaper, medium, each1930590$50$618.8K
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each20801,340$80$616.4K
    T4544Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each2030760$140$550.1K
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each401102,170$30$506.1K

    Showing 1–10 of 32

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cornerstone Services IncILMental Health Clinic/Center (Including Community Mental Health Center)$0$23.2M
    Rts Services Unlimited, Inc.ILMental Health Clinic/Center (Including Community Mental Health Center)$0$9.9M
    Pinnacle Dermatology, ScILDermatology Physician$0$7.2M
    Trinity Services Inc.ILMental Health Clinic/Center (Including Community Mental Health Center)$0$7M
    Presence Home CareILHome Health Agency$0$5.2M
    Presence Central And Suburban Hospitals NetworkILGeneral Acute Care Hospital$0$4.8M
    James UrbanILAnatomic Pathology & Clinical Pathology Physician$204.1K$4.5M
    Vna Health CareILFederally Qualified Health Center (FQHC)$0$4M
    Aunt Martha's Health And Wellness, Inc.ILFederally Qualified Health Center (FQHC)$0$3.1M
    Nabil JaberILPediatrics Physician$0$3.1M

    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. Illinois Distribution
    Basingers Pharmacy Inc — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Basingers Pharmacy Inc — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois