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    OpenPayerNPI Medicare & MedicaidPennsylvania Cvs Pharmacy LLC
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    Pennsylvania Cvs Pharmacy LLC — Billing Profile & Reimbursement Data

    NPI 1285738062 · Drexel Hill, PA · Pharmacy

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    Pennsylvania Cvs Pharmacy LLC is a pharmacy provider located in Drexel Hill, Pennsylvania. This profile covers 11 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationPennsylvania Cvs Pharmacy LLC
    Address802 Lansdowne Ave
    CityDrexel Hill
    StatePA
    ZIP19026
    TaxonomyPharmacy
    NPI EnumeratedSeptember 12, 2006

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

    Payer SourceTotal Paid
    Medicare$201.5K
    Medicaid$0

    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.

    11 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.800$130$102.9K
    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–19.800$40$34.6K
    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…360$70$26.4K
    G0008Administration of influenza virus vaccine450$30$14.4K
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count1,150$10$11.5K
    90677This 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$280$5.3K
    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…70$70$4.7K
    0124AN/A20$40$820
    90674This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…10$30$420
    90686This 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…10$20$310

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    K10344611,630660$10$18.4K
    9132051,79050$130$11.2K
    90694612,40070$80$7.5K
    906771,4302,94020$280$7.2K
    90480122,62090$40$4.7K
    906621,4234,19040$70$4.3K
    G0008616,67050$30$2.4K
    0124A6871,14020$40$1.4K
    G00091,6873,15020$30$740
    9067414123020$30$730

    Showing 1–10 of 11

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prospect Dcmh, LLCPAGeneral Acute Care Hospital$0$10.4M
    Home Health Specialists LLCPAHome Health Agency$0$7.4M
    Conrad BenedettoPAMOHS-Micrographic Surgery Physician$462.3K$0
    Julia SiegermanPAFoot & Ankle Surgery Podiatrist$320.5K$0
    Drew BarnabeiPAPhysical Therapist$167.3K$0
    Pennsylvania Cvs Pharmacy, L.L.C.PAPharmacy$166K$0
    Edward VillanuevaPAPodiatrist$151.1K$14K
    Sarah HayesPAPhysician Assistant$152.8K$0
    M MichelsPAOptometrist$97.5K$41.4K
    Michele KosseyPAEmergency Medicine Physician$112.6K$610

    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. Pennsylvania Distribution
    Pennsylvania Cvs Pharmacy LLC — 4 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania