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NPI 1447567961 · Higganum, CT · Community/Retail Pharmacy
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Higganum Pharmacy LLC is a community/retail pharmacy provider located in Higganum, Connecticut. This profile covers 8 Medicare and 8 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 | Higganum Pharmacy LLC |
| Address | 23 Killingworth Rd |
| City | Higganum |
| State | CT |
| ZIP | 06441 |
| Taxonomy | Community/Retail Pharmacy |
| NPI Enumerated | September 3, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $121.2K |
| Medicaid | $119.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 91320 | This 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. | 390 | $130 | $49.3K |
| 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… | 490 | $70 | $35.3K |
| 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. | 390 | $30 | $12.9K |
| G0008 | Administration of influenza virus vaccine | 520 | $20 | $10.9K |
| 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 | $9.2K |
| 0124A | N/A | 40 | $40 | $1.8K |
| 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… | 30 | $30 | $860 |
| G0009 | Administration of pneumococcal vaccine | 40 | $20 | $840 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.
View: State1 / 2
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.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A4927 | Gloves, non-sterile, per 100 | 2,960 | $20 | $53.4K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 260 | $100 | $26.5K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 130 | $100 | $12.4K |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 650 | $20 | $11.6K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 160 | $70 | $10.7K |
| T4541 | Incontinence product, disposable underpad, large, each | 90 | $40 | $3.7K |
| Q0513 | Pharmacy dispensing fee for inhalation drug(s); per 30 days | 30 | $10 | $200 |
| A4259 | Lancets, per box of 100 | 20 | $10 | $90 |
How this provider's Medicaid billing volume and revenue compare to other Connecticut providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Connecticut median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| T4541 | Incontinence product, disposable underpad, large, each | 45 | 50 | 1,140 | $50 | $215.4K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 27 | 40 | 520 | $110 | $200.6K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 30 | 40 | 660 | $110 | $174.6K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 23 | 40 | 410 | $110 | $132K |
| A4927 | Gloves, non-sterile, per 100 | 18 | 60 | 970 | $10 | $72.6K |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 145 | 360 | 450 | $50 | $41.9K |
| Q0513 | Pharmacy dispensing fee for inhalation drug(s); per 30 days | 7 | 10 | 140 | $10 | $6.4K |
| A4259 | Lancets, per box of 100 | 176 | 200 | 280 | $10 | $4.9K |
Other providers in the same ZIP code as Higganum Pharmacy LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Sarah Arseneault | CT | Family Nurse Practitioner | $29.7K | $0 |
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