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    OpenPayerNPI Medicare & MedicaidMedical Center Pharmacy And Home Care Center, Inc
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    Medical Center Pharmacy And Home Care Center, Inc — Billing Profile & Reimbursement Data

    NPI 1225482490 · Hamden, CT · Community/Retail Pharmacy

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    Medical Center Pharmacy And Home Care Center, Inc is a community/retail pharmacy provider located in Hamden, Connecticut. This profile covers 0 Medicare and 11 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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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMedical Center Pharmacy And Home Care Center, Inc
    Address1100 Sherman Ave
    CityHamden
    StateCT
    ZIP06514
    TaxonomyCommunity/Retail Pharmacy
    NPI EnumeratedApril 14, 2016

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

    Payer SourceTotal Paid
    Medicaid$1.9M
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J7503Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg8,910$150$1.4M
    J7507Tacrolimus, immediate release, oral, 1 mg5,500$30$142.9K
    J7517Mycophenolate mofetil, oral, 250 mg6,190$20$117.6K
    J7518Mycophenolic acid, oral, 180 mg2,350$50$117.5K
    Q0511Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period7,860$10$39.3K
    Q0512Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period12,290$1$24.6K
    J8521Capecitabine, oral, 500 mg210$90$19.2K
    S5000Prescription drug, generic250$50$13.2K
    J7512Prednisone, immediate release or delayed release, oral, 1 mg6,640$1$6.6K
    J7500Azathioprine, oral, 50 mg200$30$6.1K

    Showing 1–10 of 11

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Connecticut median

    11 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J7503Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg1105,980$130$786.4K
    S5000Prescription drug, generic2109,420$10$104.5K
    J7518Mycophenolic acid, oral, 180 mg1101,460$40$65.6K
    A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips343360450$50$41.9K
    J7507Tacrolimus, immediate release, oral, 1 mg2101,040$10$41.8K
    J7517Mycophenolate mofetil, oral, 250 mg210550$10$30.7K
    J8521Capecitabine, oral, 500 mg110210$90$19.3K
    Q0511Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period2104,440$1$16.7K
    Q0512Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period2101,220$1$10K
    J7500Azathioprine, oral, 50 mg110200$30$6.2K

    Showing 1–10 of 11

    Nearby Providers

    Other providers in the same ZIP code as Medical Center Pharmacy And Home Care Center, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Home Health Specialty Services, IncCTHome Health Agency$0$11.1M
    Visiting Nurse Services Inc. Of Southern ConnecticutCTHome Health Agency$0$10.4M
    Southern Home Care Services, Inc.CTHomemaker$0$5.5M
    Dixwell Pharmacy LLCCTCommunity/Retail Pharmacy$0$3M
    Hamden Dental CareCTGeneral Practice Dentistry$0$2.6M
    Chaudhry Medical Group, PC.CTInternal Medicine Physician$0$2.6M
    Family And Internal Medicine Of Dixwell AvenueCTInternal Medicine Physician$0$2.5M
    Myeyedr Optometry Of Connecticut, LLCCTOptometrist$0$1.6M
    The Center For Christian InitiativeCTClinical Social Worker$0$1.2M
    G.p. Of Hamden, PC.CTHealth Service Clinic/Center$0$1.1M

    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. Connecticut Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Connecticut Distribution
    Medical Center Pharmacy And Home Care Center, Inc — 2 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut