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    OpenPayerNPI Medicare & MedicaidMaryland Cvs Pharmacy LLC
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    Maryland Cvs Pharmacy LLC — Billing Profile & Reimbursement Data

    NPI 1316969074 · Rockville, MD · Pharmacy

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    Maryland Cvs Pharmacy LLC is a pharmacy provider located in Rockville, Maryland. This profile covers 10 Medicare and 1 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)

    FieldValue
    Entity TypeOrganization
    OrganizationMaryland Cvs Pharmacy LLC
    Address5700 Bou Ave
    CityRockville
    StateMD
    ZIP20852
    TaxonomyPharmacy
    NPI EnumeratedJuly 24, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$143.9K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    91322This 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.350$140$49.8K
    90694This 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…400$70$28.3K
    90480The 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–19.350$40$15.4K
    G0008Administration of influenza virus vaccine440$30$14.9K
    0134AN/A270$50$12.6K
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count990$10$11.9K
    90677This 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$9.2K
    90662This 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…20$70$1.3K
    90674This 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
    G0009Administration of pneumococcal vaccine30$10$300

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    913224968090$140$19.4K
    K103491520430$10$10.7K
    906774181,39020$280$8.6K
    90694381,29060$70$7.7K
    904801261,080100$40$6.4K
    906621,3721,65060$70$5.8K
    G0008932,79060$30$3.4K
    0134A452030$40$1.8K
    G00096331,55020$30$910
    9067417125020$30$850

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0008Administration of influenza virus vaccine60$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Maryland median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0008Administration of influenza virus vaccine15430060$10$1.6K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mid Atlantic Pemanente Medical GroupMDHealth Maintenance Organization$0$317.3M
    Adult Day Health, Inc.MDAdult Day Care Clinic/Center$0$17.5M
    Montgomery County Maryland GovernmentMDLocal Education Agency (LEA)$0$12.6M
    Reginald S Lourie Center For Infants & Young ChildrenMDClinic/Center$0$6.5M
    Harcart Health Holdings, LLCMDEmergency Medicine Physician$0$5.5M
    Visionary Ophthalmology LLCMDOphthalmology Physician$0$5.2M
    Jewish Social Service AgencyMDCommunity Based Hospice Care Agency$0$4.5M
    Rockville Pediatric Dental LLCMDPediatric Dentistry$0$4.4M
    Behavioral Framework, LLCMDCommunity/Behavioral Health Agency$0$4.3M
    Vinay DesaiMDRetina Specialist (Ophthalmology) Physician$2.5M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Maryland Distribution
    Maryland Cvs Pharmacy LLC — 3 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland
    Medicaid Revenue by Year vs. Maryland Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maryland Distribution
    Maryland Cvs Pharmacy LLC — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland