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NPI 1255329405 · Nampa, ID · Pharmacy
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Vics Family Pharmacy Inc is a pharmacy provider located in Nampa, Idaho. This profile covers 8 Medicare and 24 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 | Vics Family Pharmacy Inc |
| Address | 1513 12th Ave Rd |
| City | Nampa |
| State | ID |
| ZIP | 83686 |
| Taxonomy | Pharmacy |
| NPI Enumerated | October 12, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4.9M |
| Medicare | $28.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 80 | $140 | $11K |
| 90662 | This 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… | 90 | $70 | $6.1K |
| 90677 | This 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… | 10 | $280 | $3.4K |
| 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. | 80 | $40 | $2.9K |
| G0008 | Administration of influenza virus vaccine | 100 | $30 | $2.8K |
| 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… | 10 | $80 | $1.1K |
| 0134A | N/A | 10 | $40 | $530 |
| G0009 | Administration of pneumococcal vaccine | 10 | $30 | $340 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.
View: State1 / 2
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.
24 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| T4525 | Adult sized disposable incontinence product, protective underwear/pull-on, small size, each | 6,740 | $110 | $714.5K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 3,880 | $140 | $523.7K |
| T4537 | Incontinence product, protective underpad, reusable, bed size, each | 18,010 | $30 | $450.1K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 4,040 | $110 | $444K |
| T4541 | Incontinence product, disposable underpad, large, each | 11,000 | $30 | $363.1K |
| T4530 | Pediatric sized disposable incontinence product, brief/diaper, large size, each | 3,720 | $100 | $353.3K |
| A4927 | Gloves, non-sterile, per 100 | 12,180 | $30 | $316.6K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 10,520 | $30 | $273.4K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 1,900 | $130 | $248.2K |
| T4532 | Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each | 2,290 | $100 | $230.8K |
Showing 1–10 of 24
How this provider's Medicaid billing volume and revenue compare to other Idaho providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Idaho median
24 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| B4160 | Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,… | 5 | 10 | 420 | $130 | $567.7K |
| T4525 | Adult sized disposable incontinence product, protective underwear/pull-on, small size, each | 1 | 10 | 3,960 | $90 | $338K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 2 | 10 | 720 | $100 | $211.6K |
| T4521 | Adult sized disposable incontinence product, brief/diaper, small, each | 2 | 10 | 2,680 | $80 | $209.4K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 2 | 10 | 750 | $100 | $177.4K |
| T4530 | Pediatric sized disposable incontinence product, brief/diaper, large size, each | 2 | 10 | 2,070 | $80 | $171.4K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 2 | 10 | 210 | $90 | $163.3K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 2 | 10 | 670 | $90 | $148.8K |
| B4152 | Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include… | 2 | 10 | 640 | $120 | $138.5K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 2 | 10 | 700 | $30 | $117.9K |
Showing 1–10 of 24
Other providers in the same ZIP code as Vics Family Pharmacy Inc, ranked by combined Medicare and Medicaid revenue.
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