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NPI 1508890450 · Shoreview, MN · Home Infusion Therapy Pharmacy
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Fairview Pharmacy Services LLC is a home infusion therapy pharmacy provider located in Shoreview, Minnesota. This profile covers 2 Medicare and 66 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 | Fairview Pharmacy Services LLC |
| Address | 3650 Victoria St N |
| City | Shoreview |
| State | MN |
| ZIP | 55126 |
| Taxonomy | Home Infusion Therapy Pharmacy |
| NPI Enumerated | July 10, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $20M |
| Medicare | $72.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G0070 | Professional services for the administration of intravenous chemotherapy or other intravenous highly complex drug or biological infusion for each infusion drug administration calendar day in the… | 760 | $90 | $64.3K |
| G0090 | Professional services, initial visit, for the administration of intravenous chemotherapy or other highly complex infusion drug or biological for each infusion drug administration calendar day in the… | 130 | $70 | $8.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.
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.
66 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99601 | The provider visits the patient at home to provide an infusion or administer a specialty drug. Use this code for up to the first two hours of a visit. | 40,120 | $120 | $4.8M |
| S9342 | Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits… | 20,190 | $120 | $2.4M |
| 90378 | Immunoglobulin is a very complex protein that is produced by certain cells in the body to protect it from various types of infections and produce passive immunity. RSV–IgIM (respiratory syncytial… | 760 | $1,950 | $1.5M |
| S9494 | Home infusion therapy, antibiotic, antiviral, or antifungal therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and… | 5,330 | $240 | $1.3M |
| S9379 | Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and… | 9,910 | $110 | $1M |
| A4223 | Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) | 4,980 | $200 | $1M |
| S9374 | Home infusion therapy, hydration therapy; one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing… | 4,650 | $210 | $971.6K |
| S9500 | Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and… | 3,010 | $250 | $741K |
| B4157 | Enteral formula, nutritionally complete, for special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber,… | 1,320 | $450 | $591.4K |
| 99602 | The provider visits the patient at home to provide an infusion or administer a specialty drug. Use this code for each additional hour of the visit after the first two hours. | 4,190 | $120 | $494.4K |
Showing 1–10 of 66
How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Minnesota median
66 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| B4149 | Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral… | 4 | 10 | 580 | $510 | $5M |
| B4161 | Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding… | 3 | 10 | 890 | $570 | $4.6M |
| B4153 | Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral… | 4 | 10 | 750 | $1,190 | $1.8M |
| J1559 | Injection, immune globulin (hizentra), 100 mg | 2 | 10 | 230 | $1,500 | $1.8M |
| B4160 | Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,… | 4 | 10 | 990 | $230 | $1.4M |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 4 | 20 | 960 | $250 | $1.3M |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 2 | 10 | 60 | $1,700 | $1.1M |
| 90378 | Immunoglobulin is a very complex protein that is produced by certain cells in the body to protect it from various types of infections and produce passive immunity. RSV–IgIM (respiratory syncytial… | 2 | 10 | 760 | $1,850 | $1.1M |
| S9342 | Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits… | 1 | 10 | 9,440 | $100 | $986.9K |
| S9379 | Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and… | 1 | 10 | 7,440 | $110 | $790.5K |
Showing 1–10 of 66
Other providers in the same ZIP code as Fairview Pharmacy Services LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Advanced Respiratory, Inc. | MN | Durable Medical Equipment & Medical Supplies | $0 | $204.3M |
| Circle Of Life Home Care Anishinaabe, LLC | MN | Home Health Agency | $0 | $184.6M |
| Critical Care Services, Inc | MN | Air Ambulance | $4.3M | $21.2M |
| Brandy Utter | MN | Family Medicine Physician | $82.7K | $0 |
| Cynthia Frane | MN | Family Medicine Physician | $49.2K | $0 |
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