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NPI 1437109667 · Cape Girardeau, MO · Community/Retail Pharmacy
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Johns Pharmacy Lllp is a community/retail pharmacy provider located in Cape Girardeau, Missouri. This profile covers 10 Medicare and 9 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Johns Pharmacy Lllp |
| Address | 2001 Independence St |
| City | Cape Girardeau |
| State | MO |
| ZIP | 63703 |
| Taxonomy | Community/Retail Pharmacy |
| NPI Enumerated | May 10, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $822.5K |
| Medicare | $118.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 91322 | This 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. | 280 | $140 | $40.2K |
| 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… | 460 | $80 | $35.3K |
| G0008 | Administration of influenza virus vaccine | 550 | $30 | $15.3K |
| 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. | 280 | $40 | $10.7K |
| 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 | $8.7K |
| 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… | 80 | $30 | $2.7K |
| 90732 | The provider intramuscularly or subcutaneously injects pneumococcal polysaccharide vaccine in an individual two years or older. This vaccine provides protection against meningitis and pneumonia that… | 20 | $130 | $2K |
| 0134A | N/A | 50 | $40 | $1.9K |
| G0009 | Administration of pneumococcal vaccine | 50 | $30 | $1.4K |
| 0124A | N/A | 10 | $40 | $490 |
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
Full comparison — all codes billed, vs. state median
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| T2029 | Specialized medical equipment, not otherwise specified, waiver | 4,560 | $180 | $815.7K |
| 0001A | N/A | 100 | $20 | $1.8K |
| 0013A | N/A | 50 | $40 | $1.7K |
| 0002A | N/A | 60 | $20 | $1.2K |
| 0011A | N/A | 30 | $30 | $830 |
| 0071A | N/A | 20 | $40 | $760 |
| 0012A | N/A | 20 | $40 | $560 |
| 90736 | The provider administers a live vaccine subcutaneously to protect against varicella zoster infection. | 20 | $0 | $0 |
| G0008 | Administration of influenza virus vaccine | 20 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Missouri median
9 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| T2029 | Specialized medical equipment, not otherwise specified, waiver | 12 | 40 | 1,720 | $200 | $1.4M |
| 0001A | N/A | 30 | 70 | 70 | $30 | $8.5K |
| 0002A | N/A | 35 | 70 | 70 | $30 | $7.4K |
| 0071A | N/A | 38 | 50 | 40 | $30 | $2.6K |
| 0013A | N/A | 5 | 10 | 30 | $20 | $1.5K |
| 0012A | N/A | 32 | 50 | 30 | $20 | $770 |
| 0011A | N/A | 35 | 80 | 30 | $10 | $760 |
| G0008 | Administration of influenza virus vaccine | 103 | 150 | 40 | $1 | $40 |
| 90736 | The provider administers a live vaccine subcutaneously to protect against varicella zoster infection. | 1 | 10 | 20 | $0 | $0 |
Other providers in the same ZIP code as Johns Pharmacy Lllp, ranked by combined Medicare and Medicaid revenue.
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