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NPI 1255369054 · West Des Moines, IA · Community/Retail Pharmacy
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Hy-vee Inc is a community/retail pharmacy provider located in West Des Moines, Iowa. This profile covers 9 Medicare and 10 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 | Hy-vee Inc |
| Address | 1010 60th St |
| City | West Des Moines |
| State | IA |
| ZIP | 50266 |
| Taxonomy | Community/Retail Pharmacy |
| NPI Enumerated | June 29, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $141.3K |
| Medicaid | $19.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 510 | $80 | $38.4K |
| 91320 | This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL. | 230 | $130 | $30K |
| 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. | 160 | $140 | $22.5K |
| 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. | 390 | $40 | $14.9K |
| G0008 | Administration of influenza virus vaccine | 510 | $30 | $14.4K |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 1,090 | $10 | $13.1K |
| 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… | 20 | $270 | $4.6K |
| 0124A | N/A | 70 | $40 | $2.5K |
| 0134A | N/A | 30 | $40 | $1.1K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 0002A | N/A | 220 | $40 | $8.2K |
| 0001A | N/A | 210 | $30 | $6.4K |
| 0004A | N/A | 100 | $40 | $3.8K |
| 0124A | N/A | 10 | $40 | $560 |
| 0064A | N/A | 10 | $40 | $480 |
| 90686 | This 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 | $20 | $270 |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 20 | $10 | $80 |
| 91300 | N/A | 420 | $0 | $0 |
| 91301 | N/A | 10 | $0 | $0 |
| 91312 | N/A | 10 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Iowa providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Iowa median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 518 | 570 | 110 | $10 | $11.4K |
| 0002A | N/A | 83 | 310 | 110 | $30 | $6.4K |
| 90686 | This 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… | 470 | 520 | 100 | $10 | $6.1K |
| 0001A | N/A | 100 | 330 | 110 | $30 | $5.8K |
| 0004A | N/A | 34 | 160 | 50 | $40 | $2.4K |
| 0124A | N/A | 108 | 150 | 30 | $30 | $1.5K |
| 0064A | N/A | 106 | 110 | 30 | $30 | $1.1K |
| 91300 | N/A | 71 | 290 | 240 | $0 | $0 |
| 91301 | N/A | 175 | 200 | 50 | $0 | $0 |
| 91312 | N/A | 81 | 110 | 30 | $0 | $0 |
Other providers in the same ZIP code as Hy-vee Inc, ranked by combined Medicare and Medicaid revenue.
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