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

Why is the Medicaid comparison limited to Missouri 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. Missouri (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.

Missouri Cvs Pharmacy, L.L.C. (NPI 1366487373)

Field	Value
Entity Type	Organization
Organization	Missouri Cvs Pharmacy, L.L.C.
Address	12332 Manchester Rd
City	St. Louis
State	MO
ZIP	63131
Taxonomy	Community/Retail Pharmacy
NPI Enumerated	June 17, 2006

Payer Source	Total Paid
Medicare	$52.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

10 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.	120	$130	$15.1K
K1034	Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count	790	$10	$9.5K
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…	110	$80	$7.9K
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	$6.7K
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.	120	$40	$4.7K
G0008	Administration of influenza virus vaccine	140	$30	$4K
0124A	N/A	70	$40	$2.7K
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…	30	$70	$1.8K
0121A	N/A	10	$40	$520
G0009	Administration of pneumococcal vaccine	20	$10	$90

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

Claims Volume vs. Missouri Distribution

Missouri Cvs Pharmacy, L.L.C. — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
91320	203	500	90	$130	$15.9K
K1034	101	590	360	$10	$8.6K
90677	351	990	20	$270	$7.4K
90694	207	940	60	$70	$6.6K
90662	1,010	1,510	40	$70	$4.6K
90480	408	950	100	$30	$4.3K
G0008	473	2,260	50	$30	$2.5K
0124A	33	320	30	$40	$1.4K
0121A	5	10	20	$40	$740
G0009	592	1,060	20	$30	$730

Missouri Cvs Pharmacy, L.L.C. — Billing Profile & Reimbursement Data

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Missouri Cvs Pharmacy, L.L.C. — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References