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

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

Pennsylvania Cvs Pharmacy, L.L.C. (NPI 1285738039)

Field	Value
Entity Type	Organization
Organization	Pennsylvania Cvs Pharmacy, L.L.C.
Address	835 Old York Rd
City	Jenkintown
State	PA
ZIP	19046
Taxonomy	Pharmacy
NPI Enumerated	September 12, 2006

Payer Source	Total Paid
Medicare	$406.1K
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
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.	950	$140	$135.1K
K1034	Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count	7,640	$10	$84K
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…	650	$80	$48.9K
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.	950	$40	$40.9K
G0008	Administration of influenza virus vaccine	1,070	$30	$33.3K
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…	380	$70	$27.4K
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…	90	$280	$25.2K
0124A	N/A	230	$40	$9.9K
G0009	Administration of pneumococcal vaccine	90	$10	$1K
0121A	N/A	20	$40	$900

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. Pennsylvania Distribution

Pennsylvania Cvs Pharmacy, L.L.C. — 9 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
K1034	11	1,630	660	$10	$18.4K
91322	2	1,700	60	$140	$13.6K
90694	8	2,400	70	$80	$7.5K
90677	59	2,940	20	$280	$7.2K
90480	8	2,620	90	$40	$4.7K
90662	6	4,190	40	$70	$4.3K
G0008	4	6,670	50	$30	$2.4K
0124A	6	1,140	20	$40	$1.4K
G0009	80	3,150	20	$30	$740
90674	141	230	20	$30	$730

Showing 1–10 of 12

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Elite Home Health Care Inc.	PA	Home Health Agency	$0	$26.3M
Philadelphia Home Health Services, LLC	PA	In Home Supportive Care Agency	$0	$25.7M
Philadelphia Home Care Agency, Inc	PA	Home Health Agency	$0	$18.8M
Helping Hand Home Health Care Agency, Inc.	PA	Home Health Agency	$0	$16.4M
Holy Redeemer Health System	PA	General Acute Care Hospital	$0	$9.9M
Union Home Care LLC	PA	Home Health Agency	$0	$7.9M
Firstaff Nursing Services, Inc.	PA	Home Health Agency	$0	$6.9M
Simon Galapo	PA	Specialist	$759.5K	$0
Deirdre Reid-fighera	PA	Rheumatology Physician	$610.2K	$0
Mark Pyfer	PA	Ophthalmology Physician	$496.7K	$0

Pennsylvania Cvs Pharmacy, L.L.C. — Billing Profile & Reimbursement Data

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Pennsylvania Cvs Pharmacy, L.L.C. — 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