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    OpenPayerNPI Medicare & MedicaidProcare Pharmacy, L.L.C.
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    Procare Pharmacy, L.L.C. — Billing Profile & Reimbursement Data

    NPI 1225147796 · Washington, DC · Pharmacy

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    Procare Pharmacy, L.L.C. is a pharmacy provider located in Washington, District of Columbia. This profile covers 0 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Progress1 / 7

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationProcare Pharmacy, L.L.C.
    Address1601 17th St Nw
    CityWashington
    StateDC
    ZIP20009
    TaxonomyPharmacy
    NPI EnumeratedAugust 29, 2006

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

    Payer SourceTotal Paid
    Medicaid$155.2K
    Medicare$0

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q0511Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period7,020$10$42.1K
    J7507Tacrolimus, immediate release, oral, 1 mg6,830$10$34.2K
    J7518Mycophenolic acid, oral, 180 mg860$40$31.1K
    J7517Mycophenolate mofetil, oral, 250 mg3,630$10$25.4K
    Q0512Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period7,390$1$22.2K
    S5000Prescription drug, generic60$1$190
    J7512Prednisone, immediate release or delayed release, oral, 1 mg1,540$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. District of Columbia median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J7507Tacrolimus, immediate release, oral, 1 mg1104,590$10$25.9K
    J7518Mycophenolic acid, oral, 180 mg210860$20$16K
    Q0511Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period1103,270$1$15.4K
    J7517Mycophenolate mofetil, oral, 250 mg1102,200$10$14.3K
    Q0512Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period1103,920$1$9K
    S5000Prescription drug, generic2101,450$1$90
    J7512Prednisone, immediate release or delayed release, oral, 1 mg3101,030$1$50

    Nearby Providers

    Other providers in the same ZIP code as Procare Pharmacy, L.L.C., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mary's Center For Maternal And Child Care, IncDCFederally Qualified Health Center (FQHC)$0$56.6M
    Unity Health Care, Inc.DCFederally Qualified Health Center (FQHC)$0$48M
    Community Of Hope, IncDCFederally Qualified Health Center (FQHC)$0$3.6M
    La Clinica Del Pueblo, Inc.DCFederally Qualified Health Center (FQHC)$0$2.7M
    Core Dc LLCDCCase Management Agency$0$2.6M
    Unity Health Care, IncDCFederally Qualified Health Center (FQHC)$0$2.3M
    Sharmin Dental Clinic, P.C.DCOrthodontics and Dentofacial Orthopedics Dentistry$0$1.8M
    Nuvaya, IncDCSubstance Abuse Rehabilitation Facility$0$1.6M
    Samuel AntwiDCFamily Nurse Practitioner$16K$1.5M
    Lenox Medical Supply Services, LLCDCDurable Medical Equipment & Medical Supplies$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.

    Medicaid Revenue by Year vs. District of Columbia Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. District of Columbia Distribution
    Procare Pharmacy, L.L.C. — 4 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — District of Columbia