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    OpenPayerNPI Medicare & MedicaidMarble City Pharmacy Inc
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    Marble City Pharmacy Inc — Billing Profile & Reimbursement Data

    NPI 1417954488 · Sylacauga, AL · Pharmacist

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    Marble City Pharmacy Inc is a pharmacist provider located in Sylacauga, Alabama. This profile covers 7 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
    OrganizationMarble City Pharmacy Inc
    Address264 W Fort Williams St
    CitySylacauga
    StateAL
    ZIP35150
    TaxonomyPharmacist
    NPI EnumeratedJuly 5, 2005

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

    Payer SourceTotal Paid
    Medicaid$31.4K
    Medicare$19K

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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$4.8K
    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.40$130$4.5K
    G0008Administration of influenza virus vaccine130$30$3.5K
    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$2.5K
    90688This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.90$20$1.8K
    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–19.40$40$1.3K
    G0009Administration of pneumococcal vaccine20$30$450

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9132017129040$130$7.3K
    9067734264020$280$6.3K
    9069452989040$70$4.6K
    9048043166050$30$1.8K
    G00082182,02040$30$1.6K
    9068856020$20$740
    G000944373020$20$550

    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 strips610$40$21.4K
    E0570Nebulizer, with compressor120$80$9.8K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Alabama median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips26140130$70$164.2K
    E0570Nebulizer, with compressor103160310$40$25.4K

    Nearby Providers

    Other providers in the same ZIP code as Marble City Pharmacy Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pathway Pediatrics, Inc.ALPediatrics Physician$0$8.6M
    Sylacauga Pediatric Clinic, LLCALRural Health Clinic/Center$0$7.4M
    Sylacauga Pediatric Clinic, LLCALPediatrics Physician$0$4.4M
    Sylacauga Health Care Authority IncALRural Acute Care Hospital$0$4.2M
    Nes Tennessee IncALEmergency Medicine Physician$0$2.3M
    Marble City Pediatric DentistryALPreferred Provider Organization$0$2.2M
    Sylacauga Ambulance Service, Inc.ALLand Ambulance$433.6K$958.7K
    Talladega County Health Dept-sylacauga Epsdt CmALCase Management Agency$0$1.2M
    Family Eye Care Of Sylacauga LLCALOptometrist$0$1.2M
    Talladega County Health Dept-sylacauga Fp ClinicALPublic Health or Welfare Agency$0$951.3K

    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. Alabama Distribution
    Marble City Pharmacy Inc — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama
    Medicaid Revenue by Year vs. Alabama Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Alabama Distribution
    Marble City Pharmacy Inc — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama