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NPI 1134155781 · Sioux City, IA · Community/Retail Pharmacy
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Hy-vee Inc is a community/retail pharmacy provider located in Sioux City, Iowa. This profile covers 7 Medicare and 9 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 | Hy-vee Inc |
| Address | 4500 Sergeant Rd |
| City | Sioux City |
| State | IA |
| ZIP | 51106 |
| Taxonomy | Community/Retail Pharmacy |
| NPI Enumerated | June 24, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $139.3K |
| Medicaid | $22.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 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. | 370 | $130 | $47.1K |
| 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… | 540 | $80 | $41K |
| 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. | 430 | $40 | $16.4K |
| G0008 | Administration of influenza virus vaccine | 550 | $30 | $15.4K |
| 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. | 60 | $140 | $9.2K |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 700 | $10 | $8.4K |
| 0124A | N/A | 50 | $40 | $1.8K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 0002A | N/A | 210 | $40 | $8.3K |
| 0001A | N/A | 220 | $30 | $7.1K |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 140 | $20 | $2.9K |
| 0004A | N/A | 60 | $40 | $2.3K |
| 0124A | N/A | 30 | $40 | $1K |
| 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… | 40 | $20 | $530 |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 40 | $1 | $70 |
| 91300 | N/A | 410 | $0 | $0 |
| 91312 | N/A | 30 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Iowa providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Iowa median
9 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 184 | 280 | 390 | $20 | $21.1K |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 442 | 570 | 110 | $10 | $11.4K |
| 0002A | N/A | 84 | 310 | 110 | $30 | $6.4K |
| 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… | 395 | 520 | 100 | $10 | $6.1K |
| 0001A | N/A | 96 | 330 | 110 | $30 | $5.8K |
| 0004A | N/A | 70 | 160 | 50 | $40 | $2.4K |
| 0124A | N/A | 66 | 150 | 30 | $30 | $1.5K |
| 91300 | N/A | 74 | 290 | 240 | $0 | $0 |
| 91312 | N/A | 53 | 110 | 30 | $0 | $0 |
Other providers in the same ZIP code as Hy-vee Inc, ranked by combined Medicare and Medicaid revenue.
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