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    OpenPayerNPI Medicare & MedicaidKph Healthcare Services, Inc.
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    Kph Healthcare Services, Inc. — Billing Profile & Reimbursement Data

    NPI 1144337320 · Barre, VT · Community/Retail Pharmacy

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    Kph Healthcare Services, Inc. is a community/retail pharmacy provider located in Barre, Vermont. This profile covers 11 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
    OrganizationKph Healthcare Services, Inc.
    Address800 Us Rt 302 Berlin
    CityBarre
    StateVT
    ZIP05641
    TaxonomyCommunity/Retail Pharmacy
    NPI EnumeratedAugust 24, 2006

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

    Payer SourceTotal Paid
    Medicare$93.7K
    Medicaid$34.4K

    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.

    11 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.210$140$29.7K
    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…240$70$17K
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count910$10$11K
    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…130$70$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–19.210$40$8.3K
    G0008Administration of influenza virus vaccine410$20$6.6K
    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…20$280$6.2K
    0124AN/A110$40$4.5K
    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…30$20$750
    0134AN/A10$40$560

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    913222460180$140$34.2K
    90694206090$80$10.7K
    K10342360750$10$9.4K
    9048034110130$40$7.8K
    90677328020$270$6.8K
    906621014050$70$6.1K
    G0008917070$20$3.5K
    0124A28030$40$1.6K
    0134A294020$40$1.3K
    G0009507020$30$610

    Showing 1–10 of 11

    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
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each150$90$13.9K
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each190$70$13.6K
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each170$40$6.3K
    A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips190$1$570
    Q0513Pharmacy dispensing fee for inhalation drug(s); per 30 days20$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Vermont median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each510310$60$39.1K
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each810350$30$23.9K
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each410130$70$15.8K
    Q0513Pharmacy dispensing fee for inhalation drug(s); per 30 days71040$1$350
    A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips83050$1$220

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Kph Healthcare Services, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kph Healthcare Services, Inc.NYCommunity/Retail Pharmacy$221.1K$0
    Kph Healthcare Services, Inc.VTCommunity/Retail Pharmacy$112.1K$1.3K
    Kph Healthcare Services, Inc.VTCommunity/Retail Pharmacy$100.2K$320
    Kph Healthcare Services, Inc.VTCommunity/Retail Pharmacy$49.6K$0

    Nearby Providers

    Other providers in the same ZIP code as Kph Healthcare Services, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Washington County Mental Health Services, Inc.VTDevelopmental Disabilities Clinic/Center$0$145M
    Clearchoicemd, PLLCVTUrgent Care Clinic/Center$0$10.8M
    Pride Support Services IncVTCase Management Agency$0$4.4M
    Town Of BarreVTLand Ambulance$631.7K$1.6M
    Central Vermont Dental CenterVTDentist$0$2.2M
    Gifford Health Care, IncVTFederally Qualified Health Center (FQHC)$0$2M
    City Of BarreVTLand Ambulance$202.5K$1.1M
    Jennie HoldenVTClinical Psychologist$0$1.1M
    Elevate Youth Services IncorporatedVTCase Management Agency$0$1.1M
    Jennie Holden PlcVTClinical Psychologist$0$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. Vermont Distribution
    Kph Healthcare Services, Inc. — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Vermont
    Medicaid Revenue by Year vs. Vermont Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Vermont Distribution
    Kph Healthcare Services, Inc. — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Vermont