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    OpenPayerNPI Medicare & MedicaidAlbertsons LLC
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    Albertsons LLC — Billing Profile & Reimbursement Data

    NPI 1356432140 · Boise, ID · Community/Retail Pharmacy

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    Albertsons LLC is a community/retail pharmacy provider located in Boise, Idaho. This profile covers 15 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAlbertsons LLC
    Address250 E Parkcenter Blvd
    CityBoise
    StateID
    ZIP83706
    TaxonomyCommunity/Retail Pharmacy
    NPI EnumeratedSeptember 27, 2006

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

    Payer SourceTotal Paid
    Medicare$29M
    Medicaid$0

    Key Findings

    ALBERTSONS LLC in Boise is operating as a high-volume community/retail pharmacy by Medicare billing: it reports $29M in total Medicare revenue and has none (no Medicaid billing on file), and its NPI was enumerated 2006-09-27 (~20 years ago), indicating long-tenured participation in Medicare. The absence of any Medicaid billing on file makes this effectively a single-payer (Medicare) billing profile in the available data.

    Revenue concentration is high: the provider’s top three Medicare codes — 90662 ($5.4M), K1034 ($5.3M), and 91322 ($4.9M) — together account for 53.8% of its total Medicare revenue. Those three codes alone drive more than half of reported Medicare receipts, signaling concentrated dependence on a small set of immunization and testing services.

    The top codes and their descriptions indicate the business is focused on mass immunization and point-of-care or retail testing: 90662 (75.5K claims, $5.4M) is a flu vaccine product, K1034 (443.4K claims, $5.3M) is provision of nonprescription self-administered COVID tests, and 91322 (34.5K claims, $4.9M) is a COVID vaccine product. The mix of large flu and COVID vaccine volumes alongside extremely high-volume K1034 test claims is consistent with a retail pharmacy model that combines vaccine administration and high-throughput COVID test distribution.

    Competitive standing on key codes is dominant nationally: 90662 ranks #4 of 70752 providers (100th percentile, labeled an "extreme outlier"), 91322 ranks #3 of 29357 providers (100th percentile, "extreme outlier"), and several other vaccine administration codes (91320, 90480, G0008, 90677) likewise rank in the top few nationally or at the 100th percentile. These ranks indicate this provider is a major national outlier in volume for multiple immunization and COVID-related codes, not a modest local participant.

    K1034 activity (443.4K claims, $12 avg paid/claim, $5.3M revenue) is especially notable for scale and service type: the sheer claim count suggests widespread distribution of nonprescription self-administered COVID tests rather than a low-volume clinical service. Given the $12 average paid per claim and the rank (#87 of 30143, 100th percentile), this line appears to be a substantial and high-throughput retail transaction channel for the provider.

    The provider maintains a broad adult immunization portfolio beyond the top three codes: for Medicare it also reports 91320 (37K claims, $4.7M), 90480 (71.4K claims, $2.9M), G0008 (82.7K claims, $2.6M), and 90677 (7K claims, $2M). This distribution of revenue across multiple vaccine CPT/HCPCS codes shows the operation provides a range of routine and specialty adult vaccines (influenza, pneumococcal, and multiple COVID vaccine formulations), supporting a full-service immunization offering at scale.

    The Medicaid gap (no Medicaid billing on file) combined with the heavy Medicare concentration implies revenue and utilization trends, contracting leverage, and operational focus are largely tied to Medicare populations and reimbursement rules. Analysts should treat Medicaid performance as absent in the current data set and focus competitive comparisons and risk assessments on Medicare vaccine and testing lines where the provider is an outlier.

    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…75,500$70$5.4M
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count443,410$10$5.3M
    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.34,500$140$4.9M
    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.36,970$130$4.7M
    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–19.71,440$40$2.9M
    G0008Administration of influenza virus vaccine82,680$30$2.6M
    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…6,960$280$2M
    0124AN/A9,610$40$394.2K
    0134AN/A8,500$40$348.5K
    G0009Administration of pneumococcal vaccine7,300$30$226.4K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    91322214070$140$244.4K
    K10342120310$10$233.1K
    91320314060$130$231.6K
    90662222060$70$161.5K
    90480221080$40$96K
    90677216020$280$81.2K
    90682320100$70$77.3K
    G0008241050$30$42.3K
    0134A27020$40$40.4K
    0124A38030$40$39.8K

    Showing 1–10 of 15

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Safeway IncIDCommunity/Retail Pharmacy$76.1M$330
    American Drug Stores LLCIDCommunity/Retail Pharmacy$27.3M$0
    Vons Companies IncIDCommunity/Retail Pharmacy$12.7M$0
    Nai Saturn Eastern LLCIDCommunity/Retail Pharmacy$12.6M$0
    Smiles 4 KidsIDDentist$0$9.6M
    Acme Markets IncIDCommunity/Retail Pharmacy$9.5M$0
    Randalls Food & Drugs LPIDCommunity/Retail Pharmacy$6.7M$0
    Shaws Supermarkets IncIDCommunity/Retail Pharmacy$5.5M$0
    Saint Alphonsus Regional Medical Center IncIDGeneral Acute Care Hospital$0$5.1M
    Tdandc LLCIDHome Health Agency$0$4.9M

    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. Idaho Distribution
    Albertsons LLC — 11 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho