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 Ohio for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Ohio 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. Ohio (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.

Uptown Pharmacy LLC (NPI 1275642381)

Field	Value
Entity Type	Organization
Organization	Uptown Pharmacy LLC
Address	23 N State St
City	Westerville
State	OH
ZIP	43081
Taxonomy	Community/Retail Pharmacy
NPI Enumerated	August 30, 2006

Payer Source	Total Paid
Medicare	$162.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	540	$70	$38.5K
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.	250	$130	$31.4K
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.	180	$140	$26K
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…	80	$280	$23.1K
G0008	Administration of influenza virus vaccine	590	$30	$17.2K
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.	430	$40	$16.7K
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
G0009	Administration of pneumococcal vaccine	80	$30	$2.4K
0124A	N/A	40	$40	$1.6K
0134A	N/A	30	$40	$1K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Uptown Pharmacy LLC — 5 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
K1034	753	1,140	400	$10	$23K
91322	127	1,280	70	$140	$13K
91320	82	1,250	70	$130	$12.2K
90677	25	2,150	20	$280	$6.5K
90480	15	1,870	110	$40	$4.5K
90662	3	3,240	40	$70	$4.3K
G0008	6	5,280	50	$30	$2.1K
0124A	115	790	20	$40	$1.1K
0134A	206	620	20	$40	$1.1K
90688	45	100	30	$20	$940

Showing 1–10 of 12

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mount Carmel Health System	OH	General Acute Care Hospital	$0	$42.4M
Perfect Hands Healthcare Group, LLC	OH	Home Health Agency	$0	$15.6M
Lincare Inc	OH	Durable Medical Equipment & Medical Supplies	$0	$13M
The Vine Home Health Care Inc.	OH	Home Health Agency	$0	$9.5M
21st Century Home Health Services LLC	OH	Home Health Agency	$0	$8.5M
Cep America - Ohio LLC	OH	Emergency Medicine Physician	$0	$6.7M
Dreamers Home Health Care (llc)	OH	Home Health Agency	$0	$6.6M
Juan Lebron	OH	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Osu Wexner Medical Center Ambulatory Surgery Center	OH	Ambulatory Surgical Clinic/Center	$1.4M	$907.2K
City Of Westerville	OH	Ambulance	$350K	$715K

Uptown Pharmacy LLC — Billing Profile & Reimbursement Data

Sign up for Uptown Pharmacy LLC — Billing Profile & Reimbursement Data policy alerts

Uptown Pharmacy LLC — Billing Profile & Reimbursement Data

Sign up for Uptown Pharmacy LLC — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References