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

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

Heritage Pharmacy Gateway Mall Inc (NPI 1326291238)

Field	Value
Entity Type	Organization
Organization	Heritage Pharmacy Gateway Mall Inc
Address	2700 State St
City	Bismarck
State	ND
ZIP	58503
Taxonomy	Community/Retail Pharmacy
NPI Enumerated	October 23, 2008

Payer Source	Total Paid
Medicare	$28.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 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.	90	$130	$11.8K
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…	110	$70	$7.6K
G0008	Administration of influenza virus vaccine	130	$30	$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	$570
0064A	N/A	10	$40	$560

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Heritage Pharmacy Gateway Mall Inc — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
91320	18	90	30	$130	$14.4K
90480	59	160	60	$40	$5.1K
90662	34	190	40	$70	$5.1K
G0008	63	290	50	$30	$3.1K
90686	21	50	20	$20	$700
0064A	1	10	10	$40	$560

Nearby Providers

Other providers in the same ZIP code as Heritage Pharmacy Gateway Mall Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Options For Residential And Employment Services, Inc	ND	Case Manager/Care Coordinator	$0	$84.4M
Metro Area Ambulance Service, Inc	ND	Land Ambulance	$1.5M	$11.7M
Red Door Pediatric Therapy, Inc	ND	Speech-Language Pathologist	$0	$5.6M
New Freedom Center	ND	Substance Abuse Rehabilitation Facility	$0	$4.5M
Bismarck Surgical Associates, LLC	ND	Ambulatory Surgical Clinic/Center	$2.2M	$0
Maple View Ii East Inc	ND	Alzheimer Center (Dementia Center)	$0	$1.7M
Good Road Recovery Center	ND	Substance Abuse Rehabilitation Facility	$0	$1.1M
Bismarck Transportation Services	ND	Taxi	$0	$1.1M
Daniel J. Keith, Dds, Ms, PC	ND	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.1M
Sanford Healthcare Accessories, LLC	ND	Durable Medical Equipment & Medical Supplies	$0	$1.1M

Heritage Pharmacy Gateway Mall Inc — Billing Profile & Reimbursement Data

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Heritage Pharmacy Gateway Mall Inc — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References