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    OpenPayerNPI Medicare & MedicaidUnited Supermarkets LLC
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    United Supermarkets LLC — Billing Profile & Reimbursement Data

    NPI 1528584422 · Lubbock, TX · Community/Retail Pharmacy

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    United Supermarkets LLC is a community/retail pharmacy provider located in Lubbock, Texas. This profile covers 15 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationUnited Supermarkets LLC
    Address7830 Orlando Ave
    CityLubbock
    StateTX
    ZIP79423
    TaxonomyCommunity/Retail Pharmacy
    NPI EnumeratedAugust 22, 2017

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

    Payer SourceTotal Paid
    Medicare$4.7M
    Medicaid$0

    Key Findings

    United Supermarkets LLC presents as a community/retail pharmacy whose Medicare billing is dominated by vaccine administration and COVID-related services, consistent with its taxonomy. High-volume vaccine product codes such as 90662, 91322, 91320 and administration/encounter codes like G0008 and 90480 appear throughout the top billings, and the presence of K1034 (nonprescription self-test provision) further signals a retail testing and immunization service mix rather than clinic-based procedural care.

    Revenue concentration is pronounced: the precomputed top 3 Medicare codes account for 54.8% of the provider's total Medicare revenue, with 90662 generating $1M (21.9%), 91322 generating $898.5K (19.2%), and 91320 generating $640.3K (13.7%). This concentration indicates that a small set of vaccine products is driving the majority of Medicare dollars for this entity.

    The payer mix is effectively single-payer at the claim level: the provider reports Total Medicare revenue of $4.7M and has no Medicaid billing on file. Operating without Medicaid billing on record suggests business exposure concentrated to Medicare reimbursement policies and patient populations covered by Medicare.

    United Supermarkets ranks as a national outlier on several key vaccine codes, indicating market dominance for those services rather than modest participation. Examples include 90662 (rank #11 of 70752, labeled an extreme outlier), 91322 (rank #12 of 29357, extreme outlier), 91320 (rank #11 of 27083, extreme outlier) and G0008 (rank #10 of 119096, extreme outlier); these ranks place the provider at or near the top of national volume for major vaccine codes.

    Claim volumes underline retail throughput: 90662 has 14.2K claims, 91322 has 6.3K claims, 91320 has 5K claims, G0008 has 16.9K claims, 90480 has 11.3K claims and K1034 shows 41.8K claims. The mix of large claim counts for both vaccine administration and self-test provisioning is characteristic of a high-volume community pharmacy delivering mass immunization and consumer testing services.

    Payment-per-claim patterns show certain vaccines and products command substantially higher reimbursement per encounter: 91322 pays $143 avg/claim, 91320 $128 avg/claim, and 90677 (pneumococcal 20-valent) pays $282 avg/claim, while high-volume flu vaccine codes like 90662 and G0008 pay $72 and $28 avg/claim respectively. This combination of high-volume, lower-unit vaccines with fewer, higher-paid specialty vaccines suggests a revenue mix that blends throughput-driven and higher-margin product lines.

    The provider has been enumerated since 2017-08-22 (~9 years ago), and accumulated $4.7M in Medicare revenue over its lifetime, indicating substantial Medicare-facing scale for a retail pharmacy within that tenure. Given the concentration in a handful of vaccine and COVID-related codes, shifts in immunization demand, vaccine availability, or Medicare reimbursement could materially affect revenue given the current concentration profile.

    Operationally, the billing signature—heavy vaccinations, notable COVID vaccine codes (91322, 91320) and large volume of K1034 tests—suggests the business model relies on episodic, high-volume public health campaigns (seasonal influenza and COVID vaccination/testing drives). That pattern creates exposure to seasonality and public health policy shifts, while also positioning the provider as a go-to local source for mass immunization and consumer COVID testing under Medicare coverage.

    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…14,190$70$1M
    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.6,280$140$898.5K
    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.5,000$130$640.3K
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count41,760$10$501.1K
    G0008Administration of influenza virus vaccine16,860$30$472.1K
    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–19.11,290$40$440.4K
    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…1,560$280$439.9K
    90682This code represents a quadrivalent flu vaccine given by injection into the muscle. The vaccine is made using recombinant DNA technology and contains only a protein from the virus. It does not…1,070$70$77K
    G0009Administration of pneumococcal vaccine1,600$30$46.3K
    0134AN/A1,160$40$45K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    K1034472,490450$10$117.8K
    9132211,99050$140$11K
    9132011,75060$130$9.9K
    9067713,58020$280$7.5K
    9066215,11040$70$4.7K
    9048013,06080$30$3.3K
    9068214020$70$3K
    90732319010$130$2.3K
    G000817,86050$30$2.3K
    9130461010$120$1.9K

    Showing 1–10 of 15

    Nearby Providers

    Other providers in the same ZIP code as United Supermarkets LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Caprock Home Health Services, Inc.TXHome Health Agency$0$13.5M
    Caprock Home Health Services, Inc.TXHome Health Agency$0$11M
    Timi TuamokumoTXPhysical Medicine & Rehabilitation Physician$502.6K$0
    Mark SorianoTXInternal Medicine Physician$172K$0
    Lori BilodeauTXPhysical Therapist$133.4K$0
    Joshua PartainTXChiropractor$118.2K$0
    Andrew AzabTXChiropractor$71.8K$0
    Garrett WentzTXOptometrist$22.3K$0
    Karley WoodrichTXOptometrist$14.1K$0

    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. Texas Distribution
    United Supermarkets LLC — 13 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas