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

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

Vermont Cvs Pharmacy LLC (NPI 1407243272)

Field	Value
Entity Type	Organization
Organization	Vermont Cvs Pharmacy LLC
Address	13 Vermont 15 East
City	Morrisville
State	VT
ZIP	05661
Taxonomy	Pharmacy
NPI Enumerated	April 20, 2015

Payer Source	Total Paid
Medicare	$171.8K
Medicaid	$0

Key Findings

This entity’s Medicare revenue is concentrated in vaccine administration and related COVID services, with total Medicare revenue of $171.8K and no Medicaid billing on file. The top three Medicare codes (91320, 90480, 90694) together account for 73.7% of the provider’s Medicare revenue, underscoring an operations profile focused on immunizations and COVID-related care rather than a broad mix of clinical services.

The single largest revenue driver is 91320 (624 claims, $128 avg paid/claim, $79.9K revenue; 46.3% of this provider's total Medicare revenue), which ranks #277 of 27083 providers nationally (99th percentile; typical, unremarkable volume for this code). This indicates the provider delivers a high absolute volume of this specific SARS–CoV–2 vaccine product relative to peers, consistent with retail pharmacy immunization throughput.

The second and third largest Medicare contributors are 90480 (625 claims, $40 avg paid/claim, $25K revenue; 14.5% of this provider's total Medicare revenue), ranking #598 of 46950 (99th percentile; typical, unremarkable volume for this code), and 90694 (292 claims, $76 avg paid/claim, $22.2K revenue; 12.9% of this provider's total Medicare revenue), ranking #2898 of 51679 (94th percentile; typical, unremarkable volume for this code). Together these three codes reinforce that vaccination administration (COVID and influenza) is the core service line generating the majority of Medicare receipts.

K1034 shows a very different economics: 1.5K claims at $11 avg paid/claim for $16.9K revenue (9.8% of this provider's total Medicare revenue), ranking #4094 of 30143 (86th percentile; typical, unremarkable volume for this code). The high claim count paired with low per-claim payment suggests distribution of nonprescription self-administered COVID tests is a high-volume, low-revenue activity for this pharmacy.

Other vaccination codes such as G0008 (370 claims, $30 avg paid/claim, $11.1K revenue; 6.4% of this provider's total Medicare revenue) rank #3784 of 119096 (97th percentile; typical, unremarkable volume for this code) and 90677 (31 claims, $279 avg paid/claim, $8.6K revenue; 5.0% of this provider's total Medicare revenue) ranks #13244 of 52451 (73th percentile; typical, unremarkable volume for this code). These placements indicate the provider participates at or above typical national volumes on several vaccine lines, consistent with a community pharmacy immunization program.

Payer mix is effectively single-payer in the dataset: Medicare receipts total $171.8K while Medicaid shows none on file, meaning any Medicaid-facing activity is not reflected in these billings. For analysts, that implies comparisons and competitive positioning should focus on Medicare vaccine and test distribution metrics rather than dual-payer dynamics.

Competitive standing is mixed: for key COVID vaccine administration codes this provider ranks in the 99th percentile nationally (91320 and 90480), showing strong relative activity on those specific services, while other codes fall into the 90s or mid-percentile ranges. Overall, the national rank and percentile data signal that this pharmacy is a noticeable participant in vaccine delivery volumes, even though total Medicare revenue ($171.8K) is modest in absolute terms compared with larger institutional providers.

The provider’s NPI was enumerated on 2015-04-20 (~11 years ago), indicating more than a decade of enrollment in federal provider files. Given the tenure and a concentrated, vaccine-centric billing mix, this profile is consistent with a retail pharmacy operation that has established routine immunization and COVID test distribution services over several years.

Medicare: Complete Services Breakdown

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

11 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.	620	$130	$79.9K
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.	630	$40	$25K
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…	290	$80	$22.2K
K1034	Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count	1,540	$10	$16.9K
G0008	Administration of influenza virus vaccine	370	$30	$11.1K
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…	30	$280	$8.6K
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…	50	$70	$3.7K
0124A	N/A	80	$40	$3.2K
0121A	N/A	20	$40	$760
90674	This 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…	20	$30	$630

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Vermont Distribution

Vermont Cvs Pharmacy LLC — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
91320	4	60	40	$130	$18.1K
90694	8	60	90	$80	$10.7K
K1034	11	60	750	$10	$9.4K
90480	7	110	130	$40	$7.8K
90677	18	80	20	$270	$6.8K
90662	69	140	50	$70	$6.1K
G0008	14	170	70	$20	$3.5K
0124A	12	80	30	$40	$1.6K
90674	4	10	20	$30	$720
0121A	4	10	20	$40	$710

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lamoille County Health Mental Health Services	VT	Community/Behavioral Health Agency	$0	$42.7M
Green Mountain Support Services Inc.	VT	Case Manager/Care Coordinator	$0	$25.9M
Lamoille County Mental Health Services	VT	Community/Behavioral Health Agency	$0	$22.2M
Lamoille Health Partners, Inc	VT	Cognitive & Behavioral Psychologist	$0	$10.5M
Lamoille Health Partners, Inc	VT	Federally Qualified Health Center (FQHC)	$0	$5.4M
Lamoille Family Center Inc	VT	Public Health or Welfare Agency	$0	$5.2M
Lamoille Health Partners, Inc	VT	Pediatrics Physician	$0	$4.6M
Lamoille Health Partners, Inc	VT	Dentist	$0	$1.7M
Maple Leaf Family Dentistry	VT	General Practice Dentistry	$0	$1.2M
Tamarack Family Medicine	VT	Clinic/Center	$0	$1.1M

Vermont Cvs Pharmacy LLC — Billing Profile & Reimbursement Data

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Vermont Cvs Pharmacy LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References