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    OpenPayerNPI Medicare & MedicaidBouvier Pharmacy Inc
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    Bouvier Pharmacy Inc — Billing Profile & Reimbursement Data

    NPI 1518951359 · Marlborough, MA · Community/Retail Pharmacy

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    Bouvier Pharmacy Inc is a community/retail pharmacy provider located in Marlborough, Massachusetts. This profile covers 12 Medicare and 20 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
    OrganizationBouvier Pharmacy Inc
    Address515 Lincoln St
    CityMarlborough
    StateMA
    ZIP01752
    TaxonomyCommunity/Retail Pharmacy
    NPI EnumeratedSeptember 8, 2005

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

    Payer SourceTotal Paid
    Medicare$369.4K
    Medicaid$142.8K

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.890$140$127.6K
    90694This 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…700$80$53K
    M0201Administration 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)…1,240$40$49.8K
    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–19.1,080$50$48.4K
    G0008Administration of influenza virus vaccine750$30$25.3K
    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.180$130$23.4K
    0134AN/A280$50$12.6K
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count1,030$10$12.4K
    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…30$280$9.1K
    0124AN/A120$50$5.5K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    913224650150$140$29.1K
    9132022464080$130$25.1K
    K10343847001,190$10$16.5K
    M0201110100$40$10.7K
    90480101,130160$40$9.4K
    90694191,53050$70$8.6K
    906774331,81020$280$7.7K
    0134A1046060$40$3.5K
    G0008353,49040$30$3.5K
    0124A6747040$40$3K

    Showing 1–10 of 12

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2010Comprehensive medication services, per 15 minutes8,740$10$43.7K
    E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate920$40$37.6K
    E0601Continuous positive airway pressure (CPAP) device750$30$23.9K
    A9901Dme delivery, set up, and/or dispensing service component of another hcpcs code1,060$20$18K
    E0570Nebulizer, with compressor50$110$5.8K
    K0738Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing320$10$4.4K
    A7038Filter, disposable, used with positive airway pressure device1,200$1$3.6K
    A7035Headgear used with positive airway pressure device130$10$1.8K
    A4604Tubing with integrated heating element for use with positive airway pressure device40$30$1.2K
    A5500For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe30$30$1.2K

    Showing 1–10 of 20

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Massachusetts median

    20 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate27402,460$50$518.1K
    A7030Full face mask used with positive airway pressure device, each3330990$70$477.3K
    E0601Continuous positive airway pressure (CPAP) device29401,700$30$412K
    A4604Tubing with integrated heating element for use with positive airway pressure device3340590$30$234.2K
    A7031Face mask interface, replacement for full face mask, each3230900$30$191.9K
    E0570Nebulizer, with compressor36402,440$30$179.7K
    E0562Humidifier, heated, used with positive airway pressure device3330730$30$133.3K
    A7035Headgear used with positive airway pressure device3040940$10$93.9K
    K0738Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing17201,160$20$53.2K
    A7038Filter, disposable, used with positive airway pressure device25401,680$1$45.3K

    Showing 1–10 of 20

    Nearby Providers

    Other providers in the same ZIP code as Bouvier Pharmacy Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Quest Diagnostics LLCMAClinical Medical Laboratory$27.2M$209.7M
    Quest Diagnostics Massachusetts LLCMAClinical Medical Laboratory$27.8M$199.9M
    Lifeline Systems CompanyMAPersonal Emergency Response Attendant$0$76.4M
    Baypath Elder Services, IncMACase Management Agency$0$49.6M
    Advocates, Inc.MAMental Health Clinic/Center (Including Community Mental Health Center)$0$48.9M
    Option Care Enterprises IncMAHome Infusion Therapy Pharmacy$0$37M
    Umass Memorial Medical Center, Inc.MAGeneral Acute Care Hospital$0$26.7M
    Brookhaven Hospice LLCMACommunity Based Hospice Care Agency$0$15.3M
    Adult Day Health, Inc.MAAdult Day Care Clinic/Center$0$12.9M
    Community Ems, Inc.MALand Ambulance$921.3K$4M

    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. Massachusetts Distribution
    Bouvier Pharmacy Inc — 7 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts
    Medicaid Revenue by Year vs. Massachusetts Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    Bouvier Pharmacy Inc — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts