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    Community Pharmacies LLC — Billing Profile & Reimbursement Data

    NPI 1275520686 · Saco, ME · Community/Retail Pharmacy

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    Community Pharmacies LLC is a community/retail pharmacy provider located in Saco, Maine. This profile covers 8 Medicare and 21 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)

    FieldValue
    Entity TypeOrganization
    OrganizationCommunity Pharmacies LLC
    Address244 Main St
    CitySaco
    StateME
    ZIP04072
    TaxonomyCommunity/Retail Pharmacy
    NPI EnumeratedSeptember 30, 2005

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

    Payer SourceTotal Paid
    Medicaid$456.9K
    Medicare$67.1K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    91320This 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.140$130$17.8K
    91322This 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.120$140$17.7K
    90480The 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–19.260$40$10.6K
    90662This 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…120$70$8.8K
    G0008Administration of influenza virus vaccine190$30$5.6K
    90694This 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…60$80$4.2K
    0124AN/A40$40$1.4K
    0134AN/A30$40$1K

    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

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    91320228040$130$15K
    913223514060$140$13.3K
    906946514050$80$5.7K
    906623423030$70$4.6K
    904801620060$30$3.9K
    G00084134050$30$2.5K
    0134A256020$40$1.4K
    0124A188020$40$1.1K

    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each1,590$80$132.2K
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each710$140$100K
    T4541Incontinence product, disposable underpad, large, each1,330$40$49K
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each380$110$42.1K
    T4537Incontinence product, protective underpad, reusable, bed size, each920$40$39.6K
    S9999Sales tax3,720$10$37.2K
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each160$140$21.4K
    A4927Gloves, non-sterile, per 100560$40$20.5K
    E0570Nebulizer, with compressor920$20$14.7K
    A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips10$1$50

    Showing 1–10 of 21

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Maine median

    21 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each920710$120$277.2K
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each1010540$140$263.3K
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each720350$100$172K
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each620940$70$145.1K
    S9999Sales tax7201,360$10$71.1K
    A4927Gloves, non-sterile, per 1001320570$40$66.1K
    T4541Incontinence product, disposable underpad, large, each720750$40$62.7K
    T4537Incontinence product, protective underpad, reusable, bed size, each620380$30$48.8K
    E0570Nebulizer, with compressor1940770$20$34K
    G0008Administration of influenza virus vaccine118260110$20$17.8K

    Showing 1–10 of 21

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Community Pharmacies LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Pharmacies LLC.MECommunity/Retail Pharmacy$120.2K$98K

    Nearby Providers

    Other providers in the same ZIP code as Community Pharmacies LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    SweetserMEMental Illness Community Based Residential Treatment Facility$0$98.1M
    SweetserMEMental Health Clinic/Center (Including Community Mental Health Center)$0$80.6M
    Mainehealth Care At HomeMEHome Health Agency$0$11.3M
    Qaisi Homecare IncMEIn Home Supportive Care Agency$0$9.2M
    SweetserMECommunity/Behavioral Health Agency$0$8.1M
    Everest Recovery Centers - MaineMESubstance Use Disorder Rehabilitation Clinic/Center$147K$7.9M
    SweetserMESubstance Use Disorder Rehabilitation Clinic/Center$0$2.5M
    Saco School DepartmentMELocal Education Agency (LEA)$0$1.7M
    Island Institute For Trauma Recovery LLCMECommunity/Behavioral Health Agency$0$1.7M
    City Of SacoMEAmbulance$269.2K$1.3M

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Maine Distribution
    Community Pharmacies LLC — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine
    Medicaid Revenue by Year vs. Maine Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maine Distribution
    Community Pharmacies LLC — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine