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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Foers Pharmacy (NPI 1306999446)

Field	Value
Entity Type	Organization
Organization	Foers Pharmacy
Address	2141 K St Nw
City	Washington
State	DC
ZIP	20037
Taxonomy	Community/Retail Pharmacy
NPI Enumerated	January 20, 2007

Payer Source	Total Paid
Medicaid	$4.6K
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J7518	Mycophenolic acid, oral, 180 mg	170	$20	$3.5K
J7503	Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg	230	$1	$690
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	80	$1	$230
J7512	Prednisone, immediate release or delayed release, oral, 1 mg	190	$1	$190
Q0511	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period	250	$0	$0
Q0512	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period	580	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. District of Columbia Distribution

Foers Pharmacy — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. District of Columbia median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J7503	Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg	2	10	890	$20	$20.2K
J7518	Mycophenolic acid, oral, 180 mg	3	10	860	$20	$16K
Q0511	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period	3	10	3,270	$1	$15.4K
Q0512	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period	3	10	3,920	$1	$9K
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	13	20	90	$1	$770
J7512	Prednisone, immediate release or delayed release, oral, 1 mg	6	10	1,030	$1	$50

Foers Pharmacy — Billing Profile & Reimbursement Data

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Foers Pharmacy — 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