Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Massachusetts for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Massachusetts only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Massachusetts (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

A & J Rx Inc (NPI 1508904434)

Field	Value
Entity Type	Organization
Organization	A & J Rx Inc
Address	401 Great Plain Avenue
City	Needham
State	MA
ZIP	02492
Taxonomy	Community/Retail Pharmacy
NPI Enumerated	February 2, 2007

Payer Source	Total Paid
Medicare	$224.6K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	790	$80	$60.3K
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.	410	$140	$58.9K
G0008	Administration of influenza virus vaccine	820	$30	$28K
M0201	Administration 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)…	510	$40	$20.4K
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.	430	$50	$19.4K
0124A	N/A	380	$40	$16.9K
0134A	N/A	250	$40	$10.8K
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…	20	$270	$6.1K
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.	20	$130	$2.4K
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	$960

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

Claims Volume vs. Massachusetts Distribution

A & J Rx Inc — 4 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
91322	92	650	150	$140	$29.1K
91320	499	640	80	$130	$25.1K
M0201	2	10	100	$40	$10.7K
90480	188	1,130	160	$40	$9.4K
90694	14	1,530	50	$70	$8.6K
90677	768	1,810	20	$280	$7.7K
0134A	15	460	60	$40	$3.5K
G0008	26	3,490	40	$30	$3.5K
0124A	5	470	40	$40	$3K
G0009	1,113	1,930	20	$30	$780

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as A & J Rx Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charles River Assoc. For Retarded Citizens	MA	Developmentally Disabled Services Day Training Agency	$0	$22.1M
Beth Israel Deaconess Hospital-needham, Inc.	MA	General Acute Care Hospital	$0	$12.4M
Walker, Inc.	MA	Community Health Worker	$0	$7.7M
Town Of Needham	MA	Land Ambulance	$524.2K	$263.2K
Robert Maron	MA	Psychologist	$155.1K	$138.4K
Michael Mclaughlin	MA	Cardiovascular Disease Physician	$271.6K	$2K
Genghis Sanchez Garcia	MA	General Acute Care Hospital	$159K	$7.1K
Erik Nine	MA	Diagnostic Radiology Physician	$133.1K	$100
Lisa Fleming	MA	Advanced Heart Failure and Transplant Cardiology Physician	$117.9K	$0
Susan Bloom	MA	Physical Therapist	$107.8K	$0

A & J Rx Inc — Billing Profile & Reimbursement Data

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A & J Rx Inc — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References