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

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

Mini Pharmacy Enterprises, Inc (NPI 1295801421)

Field	Value
Entity Type	Organization
Organization	Mini Pharmacy Enterprises, Inc
Address	2425 Porter St
City	Los Angeles
State	CA
ZIP	90021
Taxonomy	Community/Retail Pharmacy
NPI Enumerated	November 28, 2006

Payer Source	Total Paid
Medicaid	$41.3M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

39 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Z5999	N/A	24,580	$430	$10.5M
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	21,790	$430	$9.4M
A4230	Infusion set for external insulin pump, non needle cannula type	31,170	$170	$5.3M
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	6,140	$400	$2.5M
E0784	External ambulatory infusion pump, insulin	690	$3,500	$2.4M
A9274	External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories	4,490	$510	$2.3M
A4215	Needle, sterile, any size, each	38,690	$60	$2.2M
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	20,990	$70	$1.5M
A4232	Syringe with needle for external insulin pump, sterile, 3 cc	37,380	$40	$1.5M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	2,130	$380	$816.8K

Showing 1–10 of 39

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. California Distribution

Mini Pharmacy Enterprises, Inc — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

39 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E0784	External ambulatory infusion pump, insulin	10	10	3,300	$2,100	$17.6M
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	2	20	3,570	$380	$8.1M
A4230	Infusion set for external insulin pump, non needle cannula type	4	20	6,690	$160	$5.8M
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	4	30	420	$140	$2.2M
A4232	Syringe with needle for external insulin pump, sterile, 3 cc	3	10	7,330	$50	$2.1M
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	2	10	2,720	$430	$2.1M
Z5999	N/A	1	20	3,330	$380	$2M
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	5	30	170	$90	$1.4M
A4231	Infusion set for external insulin pump, needle type	4	10	3,750	$120	$1.1M
T4541	Incontinence product, disposable underpad, large, each	141	290	2,820	$50	$1.1M

Showing 1–10 of 39

Mini Pharmacy Enterprises, Inc — Billing Profile & Reimbursement Data

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Mini Pharmacy Enterprises, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References