Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidCrosby's Drugs, Inc.
    Ask Trek AI about this page

    Table of contents

    Progress1 / 10

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Crosby's Drugs, Inc. — Billing Profile & Reimbursement Data

    NPI 1346237146 · Columbus, OH · Community/Retail Pharmacy

    Customize your policy alerts

    Sign up for Crosby's Drugs, Inc. — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Crosby's Drugs, Inc. is a community/retail pharmacy provider located in Columbus, Ohio. This profile covers 8 Medicare and 65 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
    OrganizationCrosby's Drugs, Inc.
    Address2609 N High St
    CityColumbus
    StateOH
    ZIP43202
    TaxonomyCommunity/Retail Pharmacy
    NPI EnumeratedOctober 5, 2005

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

    Payer SourceTotal Paid
    Medicaid$10.6M
    Medicare$28.8K

    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.

    8 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.60$140$7.9K
    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…20$280$6.8K
    91320This 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.30$130$4.1K
    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–19.90$40$3.4K
    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…30$80$2.4K
    G0008Administration of influenza virus vaccine80$30$2K
    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…50$30$1.6K
    G0009Administration of pneumococcal vaccine20$30$700

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    913228321,28070$140$13K
    913209571,25070$130$12.2K
    906776462,15020$280$6.5K
    906941,4612,28050$80$5.8K
    904801,1321,870110$40$4.5K
    G00081,6245,28050$30$2.1K
    906742620020$30$840
    G00097512,41020$30$630

    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.

    65 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T4541Incontinence product, disposable underpad, large, each34,610$30$1.2M
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each8,770$100$885.3K
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each9,110$90$855.9K
    B4150Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…8,340$90$759.1K
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each6,740$110$748.4K
    A4927Gloves, non-sterile, per 10046,800$10$655.2K
    T4543Adult sized disposable incontinence product, protective brief/diaper, above extra large, each2,650$240$644.9K
    B4154Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or…4,670$140$634.4K
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each12,980$40$493.1K
    T4537Incontinence product, protective underpad, reusable, bed size, each4,880$100$463.8K

    Showing 1–10 of 65

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Ohio median

    65 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    B4160Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…31402,610$120$677.4K
    T4534Youth sized disposable incontinence product, protective underwear/pull-on, each20202,890$80$601.5K
    A4351Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each730760$100$480.6K
    T4544Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each420420$120$378.3K
    B4154Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or…540970$120$343K
    A4595Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes)530230$20$320.8K
    T4543Adult sized disposable incontinence product, protective brief/diaper, above extra large, each840470$180$300.4K
    A4414Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each610120$50$298.3K
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each8801,240$70$295.8K
    T4541Incontinence product, disposable underpad, large, each71002,060$30$295.1K

    Showing 1–10 of 65

    Nearby Providers

    Other providers in the same ZIP code as Crosby's Drugs, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Central Ohio Endoscopy Center, LLCOHEndoscopy Clinic/Center$967.5K$0
    Milind DesaiOHDiagnostic Radiology Physician$332.1K$0
    John StanfillOHAnatomic Pathology & Clinical Pathology Physician$327K$0
    Megan LockyerOHAnatomic Pathology & Clinical Pathology Physician$306.3K$0
    Mara Fernandez-santiagoOHAnatomic Pathology & Clinical Pathology Physician$254.1K$0
    John CastorOHGastroenterology Physician$75.3K$0
    David LoOHGastroenterology Physician$66.5K$0
    Melinda RogersOHGastroenterology Physician$66.3K$0
    Leena TarigopulaOHGastroenterology Physician$60K$0
    Ruchi BhatiaOHTransplant Hepatology Physician$59.5K$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. Ohio Distribution
    Crosby's Drugs, Inc. — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio
    Medicaid Revenue by Year vs. Ohio Providers
    3 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Ohio Distribution
    Crosby's Drugs, Inc. — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio