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

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

Vermont Cvs Pharmacy, LLC (NPI 1316041122)

Field	Value
Entity Type	Organization
Organization	Vermont Cvs Pharmacy, LLC
Address	8 Kocher Dr
City	Bennington
State	VT
ZIP	05201
Taxonomy	Pharmacy
NPI Enumerated	September 12, 2006

Payer Source	Total Paid
Medicare	$218.7K
Medicaid	$0

Key Findings

VERMONT CVS PHARMACY, LLC’s Medicare activity is narrowly concentrated in immunizations and COVID testing: its three top Medicare revenue drivers are 91320 ($83.5K, 38.1%), K1034 ($35.6K, 16.2%), and 90694 ($32.5K, 14.8%), and those three codes together account for 69.1% of the provider’s total Medicare revenue of $218.7K. This code mix — vaccine products and a high volume of self-test provisioning — is consistent with a retail pharmacy operating onsite immunization and point-of-care or over-the-counter COVID test distribution services.

Revenue concentration is high: the precomputed top-3 share is 69.1% of Medicare revenue, indicating that the business is heavily dependent on a small set of vaccine- and test-related codes rather than a broad mix of clinical services. That concentration suggests payer or seasonal risk if demand or reimbursement for those specific immunization and testing codes changes.

Payer mix is effectively single-payer on file: total Medicare revenue is $218.7K while Medicaid shows none (no Medicaid billing on file), so this entity’s reported public-payer activity is dominated by Medicare with no recorded Medicaid billing to offset that exposure. For analysts, the absence of Medicaid claims limits comparisons to in‑state Medicaid peers and implies operational focus on Medicare-covered customers or services.

Competitive standing on specific codes is comparatively strong in percentile terms but modest in absolute dollars: 91320 ranks #242 of 27083 (99th percentile; typical, unremarkable volume for this code), K1034 ranks #936 of 30143 (97th percentile; typical, unremarkable volume for this code), and 90694 ranks #1149 of 51679 (98th percentile; typical, unremarkable volume for this code). These high national percentiles indicate the provider reaches many peers on these services, yet the lifetime Medicare revenue of $218.7K remains small in absolute scale relative to larger pharmacy chains or clinical providers.

Operational detail in the claim mix shows the provider bills both vaccine product codes and administration codes, which signals active on-site immunization workflows rather than only dispensing. Examples include administration-oriented codes 90480 ($26.2K, 12.0%) and G0008 ($16.4K, 7.5%), alongside vaccine product codes such as 91320 and 90694, corroborating an immunization service line with both product and administration revenue streams.

There are no labeled statistical “extreme outlier” flags in the top code list; most prominent codes are described with the plain-English label “typical, unremarkable volume” even when they sit in high percentiles (for example, 91320 at the 99th percentile and 90694 at the 98th percentile). This pattern suggests the provider’s activity is consistent with common retail-pharmacy immunization and testing behavior seen across many peers rather than anomalous billing patterns requiring immediate audit-level concern.

Tenure is long enough to suggest an established presence: the NPI was enumerated on 2006-09-12 (~20 years ago), which aligns with a stable, long-running operation likely embedded in local care access for immunizations and testing. For payer/provider strategy, that longevity combined with the concentrated vaccine/testing revenue profile points to a steady, location-based retail-pharmacy service model rather than a newly entered or transient billing entity.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
91320	This 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.	650	$130	$83.5K
K1034	Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count	3,560	$10	$35.6K
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…	430	$80	$32.5K
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.	660	$40	$26.2K
G0008	Administration of influenza virus vaccine	550	$30	$16.4K
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…	40	$280	$12.3K
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…	90	$70	$6.7K
0124A	N/A	110	$40	$4.3K
0121A	N/A	20	$40	$840
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…	20	$20	$440

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

Claims Volume vs. Vermont Distribution

Vermont Cvs Pharmacy, LLC — 6 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
91320	3	60	40	$130	$18.1K
90694	2	60	90	$80	$10.7K
K1034	1	60	750	$10	$9.4K
90480	6	110	130	$40	$7.8K
90677	8	80	20	$270	$6.8K
90662	45	140	50	$70	$6.1K
G0008	5	170	70	$20	$3.5K
0124A	3	80	30	$40	$1.6K
0121A	2	10	20	$40	$710
G0009	9	70	20	$30	$610

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
United Counseling Service Of Bennington County, Inc.	VT	Developmental Disabilities Clinic/Center	$0	$72.5M
Vermont Permanency Initiative, Inc.	VT	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$27.9M
Savida Health, PC	VT	Addiction Medicine (Internal Medicine) Physician	$0	$12M
Sunrise Family Resource Center	VT	Social Worker	$0	$7M
Seall Inc	VT	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$6.6M
United Counseling Service Of Bennington County, Inc.	VT	Clinic/Center	$0	$6M
Southwestern Vermont Medical Center Inc.	VT	General Acute Care Hospital	$0	$5.1M
Town Of Bennington Rescue Squad, Inc.	VT	Land Ambulance	$683.4K	$2.7M
Southwestern Vermont Medical Center Inc.	VT	Internal Medicine Physician	$0	$2.9M
Oral And Facial Surgery Associates,plc	VT	Oral and Maxillofacial Surgery (Dentist)	$0	$1.8M

Vermont Cvs Pharmacy, LLC — Billing Profile & Reimbursement Data

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Vermont Cvs Pharmacy, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References