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    OpenPayerNPI Medicare & MedicaidVirginia Cvs Pharmacy, L.L.C.
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    Virginia Cvs Pharmacy, L.L.C. — Billing Profile & Reimbursement Data

    NPI 1417051178 · Williamsburg, VA · Pharmacy

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    Virginia Cvs Pharmacy, L.L.C. is a pharmacy provider located in Williamsburg, Virginia. This profile covers 9 Medicare and 2 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
    OrganizationVirginia Cvs Pharmacy, L.L.C.
    Address1600 Richmond Rd
    CityWilliamsburg
    StateVA
    ZIP23185
    TaxonomyPharmacy
    NPI EnumeratedSeptember 12, 2006

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

    Payer SourceTotal Paid
    Medicare$178.8K
    Medicaid$620

    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.

    9 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.550$140$77.9K
    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…330$80$24.7K
    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–19.550$40$21.8K
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count1,460$10$17.5K
    G0008Administration of influenza virus vaccine490$30$14.6K
    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…150$70$10.9K
    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$6.4K
    0134AN/A130$40$5K
    G0009Administration of pneumococcal vaccine20$10$240

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    91322891080$140$17K
    90694721,48070$70$8.1K
    906778261,85020$280$8K
    K103450820400$10$7.8K
    906623382,26060$70$5.8K
    90480231,470120$40$5.5K
    G0008553,49070$30$3.1K
    0134A2756030$40$1.8K
    G00091,0961,98020$30$800

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips250$1$740
    A4259Lancets, per box of 10030$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Virginia median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A4259Lancets, per box of 1001320170$1$15.3K
    A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips2710080$10$14K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Virginia Cvs Pharmacy, L.L.C., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Virginia Cvs Pharmacy, L.L.C.VAPharmacy$129.7K$20
    Virginia Cvs Pharmacy LLCVAPharmacy$116K$0
    Virginia Cvs Pharmacy LLCVAPharmacy$112.9K$0
    Virginia Cvs Pharmacy, L.L.C.VAPharmacy$90.8K$0

    Nearby Providers

    Other providers in the same ZIP code as Virginia Cvs Pharmacy, L.L.C., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Colonial Behavioral HealthVACommunity/Behavioral Health Agency$0$21.6M
    Riverside Physician Services IncVAEmergency Medicine Physician$0$17.3M
    Michumi PLLCVAEmergency Medicine Physician$0$12.4M
    Doctors' Hospital Of WilliamsburgVAGeneral Acute Care Hospital$0$12M
    Connect Youth And Family ServicesVACommunity/Behavioral Health Agency$0$6M
    Elena FlaggVARheumatology Physician$3.8M$0
    Laila RahbarVARheumatology Physician$3.2M$0
    James City County Board Of SupervisorsVAAmbulance$1.2M$822.4K
    Misty WhiteVAFamily Nurse Practitioner$1.2M$0
    Zantha MarcusonVAMOHS-Micrographic Surgery Physician$886K$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. Virginia Distribution
    Virginia Cvs Pharmacy, L.L.C. — 5 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia
    Medicaid Revenue by Year vs. Virginia Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Virginia Cvs Pharmacy, L.L.C. — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia