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NPI 1306935911 · Minot, ND · Community/Retail Pharmacy
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White Drug Co Of Jamestown Inc is a community/retail pharmacy provider located in Minot, North Dakota. This profile covers 8 Medicare and 5 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | White Drug Co Of Jamestown Inc |
| Address | 1015 S Broadway Ste 3 |
| City | Minot |
| State | ND |
| ZIP | 58701 |
| Taxonomy | Community/Retail Pharmacy |
| NPI Enumerated | October 12, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $50.9K |
| Medicaid | $6.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
8 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. | 90 | $140 | $13.3K |
| 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… | 130 | $70 | $9.6K |
| 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… | 110 | $80 | $8K |
| 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… | 30 | $280 | $7.9K |
| G0008 | Administration of influenza virus vaccine | 250 | $30 | $7.4K |
| 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. | 90 | $40 | $3.6K |
| 90686 | This 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… | 30 | $20 | $550 |
| G0009 | Administration of pneumococcal vaccine | 20 | $30 | $540 |
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
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99605 | The pharmacist provides a 15–minute, in–person, patient–specific medication evaluation for a new patient based on factors such as the patient’s history and medication list. | 40 | $70 | $2.9K |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 880 | $1 | $2.6K |
| A4520 | Incontinence garment, any type, (e.g., brief, diaper), each | 10 | $60 | $720 |
| 90661 | This code represents a vaccine product administered into the muscle to protect against the flu virus. This is a trivalent vaccine, meaning it protects against three different strains of influenza.… | 10 | $1 | $40 |
| A4259 | Lancets, per box of 100 | 40 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other North Dakota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Dakota median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A4520 | Incontinence garment, any type, (e.g., brief, diaper), each | 14 | 10 | 1,170 | $90 | $201.3K |
| 99605 | The pharmacist provides a 15–minute, in–person, patient–specific medication evaluation for a new patient based on factors such as the patient’s history and medication list. | 2 | 10 | 20 | $50 | $1.4K |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 1 | 10 | 200 | $1 | $1.3K |
| 90661 | This code represents a vaccine product administered into the muscle to protect against the flu virus. This is a trivalent vaccine, meaning it protects against three different strains of influenza.… | 5 | 10 | 30 | $1 | $90 |
| A4259 | Lancets, per box of 100 | 2 | 10 | 110 | $1 | $30 |
Other providers in the same ZIP code as White Drug Co Of Jamestown Inc, ranked by combined Medicare and Medicaid revenue.
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