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NPI 1679746549 · Havre, MT · Community/Retail Pharmacy
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Gary And Leos Inc is a community/retail pharmacy provider located in Havre, Montana. This profile covers 8 Medicare and 4 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 | Gary And Leos Inc |
| Address | 730 1st St |
| City | Havre |
| State | MT |
| ZIP | 59501 |
| Taxonomy | Community/Retail Pharmacy |
| NPI Enumerated | April 10, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $76.5K |
| Medicaid | $39K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 190 | $140 | $27K |
| 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… | 310 | $70 | $22.2K |
| G0008 | Administration of influenza virus vaccine | 340 | $30 | $9.9K |
| 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. | 220 | $40 | $9.1K |
| 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. | 30 | $130 | $4.4K |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 180 | $10 | $2.2K |
| 0134A | N/A | 20 | $40 | $900 |
| 90686 | This 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… | 30 | $20 | $700 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.
View: State1 / 2
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A4215 | Needle, sterile, any size, each | 510 | $60 | $28.4K |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 510 | $10 | $6.6K |
| A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 10 | $160 | $2K |
| K0553 | Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 10 | $130 | $1.9K |
How this provider's Medicaid billing volume and revenue compare to other Montana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Montana median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 24 | 20 | 180 | $170 | $38.6K |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 40 | 80 | 480 | $20 | $10.7K |
| A4215 | Needle, sterile, any size, each | 7 | 40 | 140 | $40 | $10.5K |
| K0553 | Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 13 | 10 | 50 | $70 | $6.8K |
Other providers in the same ZIP code as Gary And Leos Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Havre Day Activity Center, Inc | MT | Developmentally Disabled Services Day Training Agency | $0 | $16.6M |
| Northern Montana Hospital | MT | Clinic/Center | $0 | $2.3M |
| Lincare Inc. | MT | Durable Medical Equipment & Medical Supplies | $0 | $1.5M |
| Havre Public Schools | MT | Local Education Agency (LEA) | $0 | $1.3M |
| Wheatland Management | MT | Assisted Living Facility | $0 | $978.8K |
| Northern Montana Hospital | MT | Critical Access Hospital | $0 | $938.4K |
| Havre Pediatric Dentistry | MT | Pediatric Dentistry | $0 | $766.6K |
| Michele Holden | MT | Professional Counselor | $0 | $760.6K |
| City Of Havre | MT | Land Ambulance | $197.6K | $489.3K |
| Bear Paw Recovery Center | MT | Substance Use Disorder Rehabilitation Clinic/Center | $0 | $638.2K |
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