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NPI 1639399330 · Plains, PA · Community/Retail Pharmacy
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Sheehans Pharmacy Inc is a community/retail pharmacy provider located in Plains, Pennsylvania. This profile covers 14 Medicare and 1 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 | Sheehans Pharmacy Inc |
| Address | 79 E Carey St |
| City | Plains |
| State | PA |
| ZIP | 18705 |
| Taxonomy | Community/Retail Pharmacy |
| NPI Enumerated | April 26, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $310.3K |
| Medicaid | $150 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
14 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 13,730 | $10 | $164.7K |
| 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. | 310 | $140 | $44K |
| 90662 | This 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… | 390 | $70 | $27.9K |
| 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. | 160 | $130 | $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. | 470 | $40 | $18.2K |
| G0008 | Administration of influenza virus vaccine | 540 | $30 | $15.7K |
| 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… | 120 | $80 | $9K |
| 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… | 30 | $280 | $7.3K |
| 0134A | N/A | 50 | $40 | $2.1K |
| 0124A | N/A | 40 | $40 | $1.5K |
Showing 1–10 of 14
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
14 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| K1034 | 8 | 1,630 | 660 | $10 | $18.4K |
| 91322 | 69 | 1,700 | 60 | $140 | $13.6K |
| 91320 | 275 | 1,790 | 50 | $130 | $11.2K |
| 90694 | 697 | 2,400 | 70 | $80 | $7.5K |
| 90677 | 855 | 2,940 | 20 | $280 | $7.2K |
| 90480 | 44 | 2,620 | 90 | $40 | $4.7K |
| 90662 | 5 | 4,190 | 40 | $70 | $4.3K |
| M0201 | 28 | 30 | 30 | $40 | $2.6K |
| G0008 | 27 | 6,670 | 50 | $30 | $2.4K |
| 0134A | 135 | 790 | 20 | $40 | $1.5K |
Showing 1–10 of 14
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 30 | $10 | $140 |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 25 | 30 | 70 | $30 | $24.2K |
Other providers in the same ZIP code as Sheehans Pharmacy Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Pediatria Healthcare, LLC | PA | Medically Fragile Infants and Children Day Care | $0 | $14M |
| Pediatria Healthcare, LLC | PA | Home Health Agency | $0 | $13.9M |
| Maxim Healthcare Services, Inc. | PA | Home Health Agency | $0 | $5.7M |
| City Of Wilkes Barre | PA | Land Ambulance | $404.2K | $2.9M |
| Frank Cawley | PA | Orthopedic Physical Therapist | $1.1M | $6.5K |
| John Ellis | PA | Cardiovascular Disease Physician | $432.3K | $0 |
| David Dalessandro | PA | Cardiovascular Disease Physician | $422K | $0 |
| Walter Delgaudio | PA | Urology Physician | $215.7K | $0 |
| Robert Fiorelli | PA | Urology Physician | $205.9K | $0 |
| Eugene Kim | PA | Orthopaedic Surgery Physician | $199.3K | $0 |
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