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    OpenPayerNPI Medicare & MedicaidMerl Inc
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    Merl Inc — Billing Profile & Reimbursement Data

    NPI 1427068832 · Bellingham, WA · Community/Retail Pharmacy

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    Merl Inc is a community/retail pharmacy provider located in Bellingham, Washington. This profile covers 12 Medicare and 14 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
    OrganizationMerl Inc
    Address2330 Yew St
    CityBellingham
    StateWA
    ZIP98229
    TaxonomyCommunity/Retail Pharmacy
    NPI EnumeratedAugust 8, 2006

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

    Payer SourceTotal Paid
    Medicaid$563.7K
    Medicare$424.1K

    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.

    12 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.1,290$140$183.9K
    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…760$80$57.9K
    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–19.1,270$40$52.1K
    G0008Administration of influenza virus vaccine1,240$30$37.1K
    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…120$280$32.7K
    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…400$70$28.8K
    0134AN/A390$40$15.8K
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count610$10$7.3K
    G0009Administration of pneumococcal vaccine130$30$3.8K
    M0201Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s)…90$40$3.3K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    91322461080$140$16.5K
    M020131040$40$10.8K
    90677111,21020$280$6.8K
    90694131,30030$70$6.6K
    904805900110$40$6.2K
    90662261,00030$70$5.5K
    K1034118510340$10$5K
    G000862,28030$30$2.6K
    0134A236030$40$2.1K
    906861718020$20$980

    Showing 1–10 of 12

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    E0601Continuous positive airway pressure (CPAP) device2,450$100$232.8K
    A7030Full face mask used with positive airway pressure device, each950$90$86.1K
    A4604Tubing with integrated heating element for use with positive airway pressure device1,850$30$59.3K
    A7034Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap860$60$48.1K
    A7035Headgear used with positive airway pressure device1,720$20$36.1K
    E0562Humidifier, heated, used with positive airway pressure device200$150$31.2K
    A7031Face mask interface, replacement for full face mask, each650$30$20.1K
    T1999Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"2,270$10$13.6K
    A7038Filter, disposable, used with positive airway pressure device2,100$10$12.6K
    A7046Water chamber for humidifier, used with positive airway pressure device, replacement, each1,020$10$11.2K

    Showing 1–10 of 14

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Washington median

    14 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    E0601Continuous positive airway pressure (CPAP) device43901,970$70$242.5K
    T1999Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"24502,160$10$158K
    A7030Full face mask used with positive airway pressure device, each44801,050$80$125.7K
    E0562Humidifier, heated, used with positive airway pressure device5380540$100$103.4K
    A7034Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap48901,070$50$94.1K
    A4604Tubing with integrated heating element for use with positive airway pressure device42901,470$30$86.3K
    A7035Headgear used with positive airway pressure device44901,620$20$53K
    E0570Nebulizer, with compressor46601,120$20$39.9K
    A7031Face mask interface, replacement for full face mask, each45801,050$30$37.1K
    A7038Filter, disposable, used with positive airway pressure device671003,340$10$28.3K

    Showing 1–10 of 14

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Zachary WebbWANeurology Physician$195.7K$0
    Rajesh BholaWACardiovascular Disease Physician$127.1K$0
    Riverside Portable X-ray & EkgWAPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$36.9K$3.4K
    Mark MydanWASpecialist$14.6K$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. Washington Distribution
    Merl Inc — 8 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington
    Medicaid Revenue by Year vs. Washington Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Washington Distribution
    Merl Inc — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington