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    OpenPayerNPI Medicare & MedicaidCvs Pharmacy, Inc.
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    Cvs Pharmacy, Inc. — Billing Profile & Reimbursement Data

    NPI 1669514352 · Woonsocket, RI · Pharmacy

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    Cvs Pharmacy, Inc. is a pharmacy provider located in Woonsocket, Rhode Island. This profile covers 0 Medicare and 35 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
    OrganizationCvs Pharmacy, Inc.
    Address1 Cvs Dr
    CityWoonsocket
    StateRI
    ZIP02895
    TaxonomyPharmacy
    NPI EnumeratedFebruary 12, 2007

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

    Payer SourceTotal Paid
    Medicaid$778.1K
    Medicare$0

    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.

    35 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    0001AN/A10,250$20$215.2K
    0002AN/A7,610$20$167.4K
    90686This 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…7,890$10$63.1K
    0011AN/A3,660$20$62.2K
    90674This 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…4,310$10$51.7K
    0012AN/A2,640$20$47.4K
    0004AN/A1,220$30$32.9K
    90750The provider injects an adjuvanted vaccine into a muscle to protect the patient against varicella zoster infection.330$70$24.1K
    90715The provider uses this combination vaccine as a booster to help protect patients who are 7 years old or older from lockjaw, diphtheria, and whooping cough.740$30$19.3K
    0064AN/A930$20$18.5K

    Showing 1–10 of 35

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Rhode Island median

    35 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90715The provider uses this combination vaccine as a booster to help protect patients who are 7 years old or older from lockjaw, diphtheria, and whooping cough.21030$100$29.6K
    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…110540$30$14.2K
    90472This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.109130150$20$11K
    0002AN/A13090$30$10.5K
    0001AN/A14050$20$9.7K
    90750The provider injects an adjuvanted vaccine into a muscle to protect the patient against varicella zoster infection.11020$80$9.4K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.3950090$10$8.5K
    90756This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no antibiotics, and is administered as a 0.5 mL injection into…110570$10$7.4K
    0012AN/A14070$30$7K
    0011AN/A14060$20$5.6K

    Showing 1–10 of 35

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Cvs Pharmacy, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cvs Pharmacy IncMAPharmacy$756.9K$0
    Cvs Pharmacy IncMAPharmacy$456.6K$0
    Cvs Pharmacy IncMAPharmacy$407.4K$0
    Cvs Pharmacy IncMAPharmacy$329.2K$0
    Cvs Pharmacy IncMAPharmacy$302K$0
    Cvs Pharmacy IncMAPharmacy$285K$0
    Cvs Pharmacy IncMAPharmacy$283.2K$0
    Cvs Pharmacy IncMAPharmacy$282.9K$0
    Cvs Pharmacy IncMAPharmacy$267.9K$0
    Cvs Pharmacy IncMAPharmacy$260.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Care AllianceRICommunity/Behavioral Health Agency$0$46.4M
    Prime Healthcare Services Landmark LLCRIGeneral Acute Care Hospital$0$26.2M
    R.i.s.a.t., LLCRIMethadone Clinic$306K$21.6M
    Thundermist Health CenterRIDental Clinic/Center$0$18.6M
    Thundermist Health CenterRIFederally Qualified Health Center (FQHC)$0$15.8M
    Action Based EnterprisesRIDevelopmentally Disabled Services Day Training Agency$0$15.2M
    Woonsocket Education DepartmentRILocal Education Agency (LEA)$0$9.5M
    Woonsocket Housing AuthorityRIAssisted Living Facility$0$7M
    Beata NelkenRIPediatrics Physician$0$4.2M
    Tmed Holdings, Inc.RIDurable Medical Equipment & Medical Supplies$0$3.8M

    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.

    Medicaid Revenue by Year vs. Rhode Island Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    Cvs Pharmacy, Inc. — 14 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island