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    OpenPayerNPI Medicare & MedicaidWest Virginia Cvs Pharmacy LLC
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    West Virginia Cvs Pharmacy LLC — Billing Profile & Reimbursement Data

    NPI 1144323890 · Saint Albans, WV · Pharmacy

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    West Virginia Cvs Pharmacy LLC is a pharmacy provider located in Saint Albans, West Virginia. This profile covers 10 Medicare and 5 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
    OrganizationWest Virginia Cvs Pharmacy LLC
    Address201 Maccorkle Ave
    CitySaint Albans
    StateWV
    ZIP25177
    TaxonomyPharmacy
    NPI EnumeratedSeptember 7, 2006

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

    Payer SourceTotal Paid
    Medicare$82.1K
    Medicaid$2.7K

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.160$140$22.6K
    90694This 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…220$80$16.9K
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count1,480$10$14.8K
    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…30$280$9.2K
    G0008Administration of influenza virus vaccine280$30$8.2K
    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–19.160$40$6.2K
    90662This 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…40$70$3K
    G0009Administration of pneumococcal vaccine30$10$480
    0134AN/A10$40$430
    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…10$30$430

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    91322918050$140$9.2K
    906773017020$270$6.5K
    K10346150400$10$5.8K
    9066216931050$70$4.6K
    90694523040$70$4.5K
    904802325070$30$2.7K
    G00081156050$30$2K
    90674324020$30$1.3K
    0134A516020$40$850
    G00093523020$20$570

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0008Administration of influenza virus vaccine160$10$1.7K
    A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips110$10$570
    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…20$20$360
    0064AN/A40$0$0
    90686This 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…20$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. West Virginia median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90686This 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…316360120$10$6.5K
    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…426030$20$1.5K
    A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips196080$10$910
    G0008Administration of influenza virus vaccine2623050$10$870
    0064AN/A84020$10$200

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Putnam County Aging, Inc.WVHome Health Agency$0$26.5M
    Ten Up Ministries, IncWVMental Health Clinic/Center (Including Community Mental Health Center)$0$19.9M
    Womencare IncWVFederally Qualified Health Center (FQHC)$0$10.7M
    Putnam County Aging Program, Inc.WVHome Health Agency$0$3.4M
    Braley & Thompson, Inc.WVEmotionally Disturbed Childrens' Residential Treatment Facility$0$777.9K
    Steven PotwinWVOptometrist$72.1K$0
    Ajay PatelWVInternal Medicine Physician$65.3K$0
    Michael NotoWVFoot & Ankle Surgery Podiatrist$60.4K$0
    Stacey SmithWVFoot & Ankle Surgery Podiatrist$35.7K$0
    Gabriel MckinneyWVChiropractor$22.5K$0

    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. West Virginia Distribution
    West Virginia Cvs Pharmacy LLC — 4 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia
    Medicaid Revenue by Year vs. West Virginia Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. West Virginia Distribution
    West Virginia Cvs Pharmacy LLC — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia