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 1316374002)

Field	Value
Entity Type	Organization
Organization	Vermont Cvs Pharmacy LLC
Address	1634 Us Route 302
City	Barre
State	VT
ZIP	05641
Taxonomy	Pharmacy
NPI Enumerated	September 26, 2013

Payer Source	Total Paid
Medicare	$189.6K
Medicaid	$0

Key Findings

This entity is effectively a Medicare-focused retail pharmacy operation: lifetime Medicare revenue is $189.6K and there is no Medicaid billing on file, so Medicaid activity is absent from its billing profile. That payer mix makes the provider functionally single-payer (Medicare) in the claims data, rather than a dual-payer practice with meaningful Medicaid volume.

The provider’s top revenue-driving services are vaccine administrations and related COVID testing. The three highest-revenue Medicare codes are 91320 (742 claims, $128 avg paid/claim, $95K revenue; 50.4% of total), 90480 (748 claims, $40 avg paid/claim, $29.9K revenue; 15.9% of total), and 90694 (311 claims, $75 avg paid/claim, $23.3K revenue; 12.4% of total), demonstrating that COVID and influenza immunizations are the primary business lines.

Revenue is highly concentrated in a small set of immunization codes: the precomputed top-3 Medicare codes account for 78.6% of this provider’s total Medicare revenue. That level of concentration indicates the clinic’s financial performance is driven predominantly by COVID and flu vaccine throughput rather than a broad mix of clinical services.

The provider shows strong national participation for its COVID vaccine activity by rank but the volume descriptors attached to those codes remain "typical, unremarkable volume." Specifically, 91320 ranks #151 of 27083 providers (99th percentile) and 90480 ranks #324 of 46950 providers (99th percentile), which places the site among high-ranking national vaccinators for those codes even while the dataset labels the volumes as typical. This suggests the pharmacy achieves comparatively high counts for COVID immunizations versus peers but within the expected operational profile for a retail vaccinator.

Other preventive services and testing also contribute meaningfully: K1034 (nonprescription self-administered COVID test) shows 1.6K claims and $16.5K revenue (8.7% of total) and ranks #3674 of 30143 providers (88th percentile, characterized as typical). G0008 (influenza vaccine administration) adds 384 claims and $11.5K revenue (6.1% of total) and ranks #3423 of 119096 providers (97th percentile, characterized as typical). Together these codes underline a service mix centered on immunization delivery and point-of-care/retail testing.

The provider is not a major player across all vaccine types; several vaccine codes have low share and low national standing. For example, 90677 contributes $4.2K (2.2% of total) and ranks #36982 of 52451 providers (24th percentile, typical), and G0009 contributes $221 (0.1% of total) and ranks #47514 of 58343 providers (13th percentile, typical), indicating more modest activity in certain pneumococcal and other vaccine lines. This uneven code-level footprint suggests focused operational capacity rather than broad preventive-service dominance.

The provider has a stable operational tenure, having been enumerated/registered since 2013-09-26 (~13 years ago), which supports interpretation of the observed billing pattern as an established retail pharmacy service model rather than a short-lived or newly launched clinic. The consistent immunization and testing volumes across multiple vaccine and administration codes point to routine seasonal and public-health-driven activity rather than sporadic billing spikes.

For payer or network analysts, the profile signals a Medicare-centric immunization site that will register materially in Medicare vaccination metrics but will not contribute to Medicaid reporting or network capacity given the absence of Medicaid claims. If expansion into Medicaid or additional service lines is of interest, the current data show clear baseline strengths (COVID and flu vaccinations plus OTC COVID testing) to build from, but any engagement should account for the provider’s existing narrow revenue base and high dependency on a few codes.

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.	740	$130	$95K
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.	750	$40	$29.9K
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…	310	$80	$23.3K
K1034	Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count	1,650	$10	$16.4K
G0008	Administration of influenza virus vaccine	380	$30	$11.5K
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…	20	$280	$4.2K
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…	60	$70	$4K
0124A	N/A	70	$40	$2.8K
0121A	N/A	20	$40	$800
90674	This 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

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 — 2 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	2	60	40	$130	$18.1K
90694	5	60	90	$80	$10.7K
K1034	9	60	750	$10	$9.4K
90480	5	110	130	$40	$7.8K
90677	54	80	20	$270	$6.8K
90662	64	140	50	$70	$6.1K
G0008	13	170	70	$20	$3.5K
0124A	16	80	30	$40	$1.6K
90674	10	10	20	$30	$720
0121A	3	10	20	$40	$710

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
Washington County Mental Health Services, Inc.	VT	Developmental Disabilities Clinic/Center	$0	$145M
Clearchoicemd, PLLC	VT	Urgent Care Clinic/Center	$0	$10.8M
Pride Support Services Inc	VT	Case Management Agency	$0	$4.4M
Town Of Barre	VT	Land Ambulance	$631.7K	$1.6M
Central Vermont Dental Center	VT	Dentist	$0	$2.2M
Gifford Health Care, Inc	VT	Federally Qualified Health Center (FQHC)	$0	$2M
City Of Barre	VT	Land Ambulance	$202.5K	$1.1M
Jennie Holden	VT	Clinical Psychologist	$0	$1.1M
Elevate Youth Services Incorporated	VT	Case Management Agency	$0	$1.1M
Jennie Holden Plc	VT	Clinical Psychologist	$0	$1M

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