Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Texas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Cvs Pharmacy Inc. (NPI 1255589255)

Field	Value
Entity Type	Organization
Organization	Cvs Pharmacy Inc.
Address	10107 Research Blvd
City	Austin
State	TX
ZIP	78759
Taxonomy	Community/Retail Pharmacy
NPI Enumerated	September 3, 2008

Payer Source	Total Paid
Medicare	$37.2K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	120	$130	$14.7K
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…	80	$80	$5.9K
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.	120	$40	$4.8K
G0008	Administration of influenza virus vaccine	120	$30	$3.7K
K1034	Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count	280	$10	$3.3K
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…	40	$70	$2.8K
0124A	N/A	40	$40	$1.5K
0121A	N/A	10	$40	$530

Medicare: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Cvs Pharmacy Inc. — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
K1034	1,740	2,490	450	$10	$117.8K
91320	322	1,750	60	$130	$9.9K
90694	881	3,140	40	$70	$5.1K
90662	2,706	5,110	40	$70	$4.7K
90480	770	3,060	80	$30	$3.3K
G0008	1,648	7,860	50	$30	$2.3K
0124A	180	1,070	20	$40	$1.2K
0121A	9	20	10	$40	$810

Nearby Providers

Other providers in the same ZIP code as Cvs Pharmacy Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
D&s Residential Services, LP	TX	Intellectual Disabilities Intermediate Care Facility	$0	$97M
Entrusted Pediatric Home Care L.L.C.	TX	Home Health Agency	$0	$46.8M
D&s Residential Services, LP	TX	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$41.7M
D&s Residential Services, LP	TX	Intellectual Disabilities Intermediate Care Facility	$0	$39.1M
D&s Residential Services, LP	TX	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$33.7M
D&s Residential Services, LP	TX	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$33.3M
Mga Healthcare Texas, LLC	TX	Home Health Agency	$0	$30.7M
D&s Residential Services, LP	TX	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$19.6M
D&s Residential Services, LP	TX	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$17.8M
D&s Residential Services, LP	TX	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$14.4M

Cvs Pharmacy Inc. — Billing Profile & Reimbursement Data

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Cvs Pharmacy Inc. — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References