Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Idaho for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Idaho only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Idaho (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

American Drug Stores LLC (NPI 1669566626)

Field	Value
Entity Type	Organization
Organization	American Drug Stores LLC
Address	250 E Parkcenter Blvd
City	Boise
State	ID
ZIP	83706
Taxonomy	Community/Retail Pharmacy
NPI Enumerated	October 3, 2006

Payer Source	Total Paid
Medicare	$27.3M
Medicaid	$0

Key Findings

AMERICAN DRUG STORES LLC operates as a community/retail pharmacy whose Medicare code mix is heavily dominated by vaccinations and COVID testing services; its top fee-for-service activities include SARS–CoV–2 vaccines (91320, 91322), annual influenza vaccines (90662 and others), routine vaccine administration (90480, G0008), and high-volume nonprescription COVID testing (K1034). The presence of multiple vaccine-product CPT/HCPCS codes and administration codes with large claim counts is consistent with a retail immunization and public-health testing operation rather than a typical dispensing-only pharmacy profile.

Revenue concentration is substantial: the precomputed top-3 Medicare codes (91320, 90662, K1034) account for 54.6% of the provider's total Medicare revenue, with the individual reported revenues being $5.5M for 91320, $5.2M for 90662, and $4.3M for K1034. This concentration shows that a small set of high-throughput public-health services drive the majority of Medicare receipts.

On payer mix the provider is effectively single-payer: total Medicare revenue is $27.3M while Medicaid revenue is none on file, indicating no Medicaid billing activity has been reported. Analysts should treat this entity as Medicare-centric for historical billing and competitive comparisons rather than a mixed Medicaid/Medicare operator.

The provider’s competitive standing on multiple vaccine and testing codes is nationally dominant: 91320 ranks #3 of 27083 providers, 90662 ranks #5 of 70752 providers, and K1034 ranks #100 of 30143 providers, with these placements described as 100th percentile and labeled an "extreme outlier" for volume. Several additional codes (91322, 90480, G0008, 90677) also carry 100th-percentile rankings and "extreme outlier" labels, signaling consistent national-scale throughput on immunization and testing services.

Operational throughput is very high: K1034 shows 361.5K claims at $12 avg paid/claim, 90662 shows 71.8K claims at $72 avg paid/claim, and 91320 shows 42.7K claims at $128 avg paid/claim. This mix—very large claim counts with modest per-claim payments for tests and routine vaccine administration—indicates a high-volume, lower-unit-revenue service model typical of mass immunization/testing sites embedded in retail pharmacy workflows.

The provider has long tenure in Medicare billing: NPI enumerated (registered) 2006-10-03 (~20 years ago), which supports interpreting its current scale as the result of sustained participation in federal programs rather than a short-term or recently established operation. This longevity may reflect established workflows and payer relationships for delivering immunizations and testing.

Multiple individual CPT/HCPCS entries are explicitly labeled as "extreme outlier" relative to national peers, which is a strong statistical signal that this location’s volumes are far above typical providers for these services. Examples include 91320, 90662, 91322, 90480, and G0008; these labels should guide competitive benchmarking and capacity assumptions in network planning.

Business-risk and seasonal exposure: because the Medicare revenue base is concentrated in vaccines and COVID testing and there is no Medicaid billing on file, the provider’s revenue is likely sensitive to public-health demand cycles (e.g., influenza season and COVID vaccination campaigns) and policy changes affecting vaccine/test reimbursement or distribution; analysts should consider seasonality and program-level shifts when projecting future revenue stability.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	42,700	$130	$5.5M
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…	71,850	$70	$5.2M
K1034	Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count	361,480	$10	$4.3M
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.	25,990	$140	$3.7M
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.	68,690	$40	$2.9M
G0008	Administration of influenza virus vaccine	79,540	$30	$2.5M
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…	6,850	$280	$1.9M
0124A	N/A	11,410	$40	$479.1K
90682	This 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…	3,870	$70	$278.3K
0134A	N/A	6,280	$40	$263.9K

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Idaho Distribution

American Drug Stores LLC — 11 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
91322	3	140	70	$140	$244.4K
K1034	3	120	310	$10	$233.1K
91320	2	140	60	$130	$231.6K
90662	3	220	60	$70	$161.5K
90480	3	210	80	$40	$96K
90677	3	160	20	$280	$81.2K
90682	2	20	100	$70	$77.3K
G0008	3	410	50	$30	$42.3K
0134A	3	70	20	$40	$40.4K
0124A	2	80	30	$40	$39.8K

Showing 1–10 of 16

Nearby Providers

Other providers in the same ZIP code as American Drug Stores LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Safeway Inc	ID	Community/Retail Pharmacy	$76.1M	$330
Albertsons LLC	ID	Community/Retail Pharmacy	$29M	$0
Vons Companies Inc	ID	Community/Retail Pharmacy	$12.7M	$0
Nai Saturn Eastern LLC	ID	Community/Retail Pharmacy	$12.6M	$0
Smiles 4 Kids	ID	Dentist	$0	$9.6M
Acme Markets Inc	ID	Community/Retail Pharmacy	$9.5M	$0
Randalls Food & Drugs LP	ID	Community/Retail Pharmacy	$6.7M	$0
Shaws Supermarkets Inc	ID	Community/Retail Pharmacy	$5.5M	$0
Saint Alphonsus Regional Medical Center Inc	ID	General Acute Care Hospital	$0	$5.1M
Tdandc LLC	ID	Home Health Agency	$0	$4.9M

American Drug Stores LLC — Billing Profile & Reimbursement Data

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American Drug Stores LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References