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NPI 1518069004 · Fort Smith, AR · Community/Retail Pharmacy
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Medisav Homecare Pharmacies Inc is a community/retail pharmacy provider located in Fort Smith, Arkansas. This profile covers 9 Medicare and 43 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 | Medisav Homecare Pharmacies Inc |
| Address | 8820 Rogers Ave |
| City | Fort Smith |
| State | AR |
| ZIP | 72903 |
| Taxonomy | Community/Retail Pharmacy |
| NPI Enumerated | September 4, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.2M |
| Medicare | $254.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 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… | 1,110 | $80 | $84.3K |
| 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. | 630 | $130 | $81K |
| G0008 | Administration of influenza virus vaccine | 1,270 | $30 | $35.5K |
| 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. | 630 | $40 | $23.4K |
| 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… | 70 | $280 | $20K |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 160 | $20 | $3.5K |
| 0124A | N/A | 90 | $40 | $3.3K |
| G0009 | Administration of pneumococcal vaccine | 80 | $30 | $2K |
| 0134A | N/A | 40 | $40 | $1.5K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 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.
43 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 2,210 | $100 | $223.4K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 2,160 | $100 | $207.2K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 1,460 | $120 | $168.4K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 1,600 | $100 | $158.1K |
| A4554 | Disposable underpads, all sizes | 3,190 | $40 | $117.9K |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 3,740 | $30 | $101.1K |
| T4532 | Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each | 620 | $120 | $73K |
| 0002A | N/A | 800 | $50 | $35.9K |
| E0570 | Nebulizer, with compressor | 2,110 | $20 | $35.9K |
| 0001A | N/A | 850 | $30 | $24.6K |
Showing 1–10 of 43
How this provider's Medicaid billing volume and revenue compare to other Arkansas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arkansas median
43 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| T4532 | Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each | 14 | 20 | 1,360 | $120 | $1.2M |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 33 | 60 | 1,870 | $90 | $291.7K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 22 | 60 | 1,500 | $90 | $254.7K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 24 | 60 | 1,750 | $60 | $237.4K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 30 | 50 | 1,690 | $90 | $231.2K |
| A4554 | Disposable underpads, all sizes | 32 | 70 | 3,140 | $40 | $221.3K |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 5 | 110 | 290 | $80 | $108.5K |
| A4927 | Gloves, non-sterile, per 100 | 42 | 70 | 2,380 | $10 | $86.1K |
| E0607 | Home blood glucose monitor | 7 | 10 | 80 | $60 | $51.5K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | 15 | 30 | 450 | $50 | $42.2K |
Showing 1–10 of 43
Other providers in the same ZIP code as Medisav Homecare Pharmacies Inc, ranked by combined Medicare and Medicaid revenue.
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