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    Care One Pharmacy Services LLC — Billing Profile & Reimbursement Data

    NPI 1437450236 · Niles, IL · Long Term Care Pharmacy

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    Care One Pharmacy Services LLC is a long term care pharmacy provider located in Niles, Illinois. This profile covers 11 Medicare and 24 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
    OrganizationCare One Pharmacy Services LLC
    Address7550 N Oak Park Ave
    CityNiles
    StateIL
    ZIP60714
    TaxonomyLong Term Care Pharmacy
    NPI EnumeratedNovember 10, 2010

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

    Payer SourceTotal Paid
    Medicaid$856.9K
    Medicare$262.5K

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.470$130$59.9K
    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…170$280$48.4K
    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.260$140$36.5K
    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–19.720$40$31.1K
    90674This 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…840$30$27.6K
    G0008Administration of influenza virus vaccine1,010$20$24.3K
    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…170$70$12.1K
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count1,010$10$12.1K
    G0009Administration of pneumococcal vaccine170$30$5.5K
    0134AN/A80$40$3.4K

    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

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    K10344351,150720$10$414.9K
    91322123850110$140$20.6K
    913202594090$130$17.2K
    9067782,54020$270$8K
    90480171,570130$40$5.9K
    906622813,06050$70$4.9K
    G000874,59050$30$2.8K
    0134A7654030$40$2K
    0124A25671030$40$1.8K
    90674129020$30$990

    Showing 1–10 of 11

    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each1,370$140$185.8K
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each1,020$140$142.1K
    T4541Incontinence product, disposable underpad, large, each2,760$50$137.9K
    A9150Non-prescription drugs3,520$30$116.1K
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each600$170$98.7K
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each1,880$40$79K
    A4927Gloves, non-sterile, per 1004,500$20$67.5K
    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.90$80$7.6K
    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.50$120$5.4K
    90674This 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…120$30$3.8K

    Showing 1–10 of 24

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Illinois median

    24 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each47901,400$80$727.1K
    T4541Incontinence product, disposable underpad, large, each571302,190$50$644.7K
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each55801,230$100$639.8K
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each47801,340$80$616.4K
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each571102,170$30$506.1K
    A4927Gloves, non-sterile, per 100411102,260$10$149.8K
    A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips810400$20$41.5K
    A9150Non-prescription drugs2101,190$20$40K
    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.125020$120$27.8K
    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.306050$100$18.2K

    Showing 1–10 of 24

    Nearby Providers

    Other providers in the same ZIP code as Care One Pharmacy Services LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    American Scientific Laboratory IncILClinical Medical Laboratory$482.2K$24M
    Ace Medical Supply LLCILDurable Medical Equipment & Medical Supplies$0$10.3M
    Village Of NilesILLand Ambulance$595.4K$8.3M
    Hannan Lab IncILClinical Medical Laboratory$7.4M$209.9K
    Kingsway Home Health Services,incILHome Health Agency$0$7.3M
    Spectrum Lab CorpILClinical Medical Laboratory$4.8M$44.6K
    Rumya RaoILRetina Specialist (Ophthalmology) Physician$1.7M$2M
    Matthew WesselILRetina Specialist (Ophthalmology) Physician$2.3M$1.3M
    Asian Human Services Family Health Center, IncILFederally Qualified Health Center (FQHC)$0$3.4M
    John EklundILHematology & Oncology Physician$1.3M$8.4K

    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. Illinois Distribution
    Care One Pharmacy Services LLC — 6 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Care One Pharmacy Services LLC — 0 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois