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    OpenPayerNPI Medicare & MedicaidRandalls Food & Drugs LP
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    Randalls Food & Drugs LP — Billing Profile & Reimbursement Data

    NPI 1689052722 · Boise, ID · Community/Retail Pharmacy

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    Randalls Food & Drugs LP is a community/retail pharmacy provider located in Boise, Idaho. This profile covers 14 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
    OrganizationRandalls Food & Drugs LP
    Address250 E Parkcenter Blvd
    CityBoise
    StateID
    ZIP83706
    TaxonomyCommunity/Retail Pharmacy
    NPI EnumeratedMay 8, 2015

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

    Payer SourceTotal Paid
    Medicare$6.7M
    Medicaid$0

    Key Findings

    RANDALLS FOOD & DRUGS LP is operating as a high-volume community/retail pharmacy immunizer: its top Medicare revenue drivers are vaccine product codes (90662, 91322, 91320) and vaccine administration codes (G0008, 90480), plus a large volume of self-test provisioning (K1034). The code mix — dominated by influenza and SARS–CoV–2 vaccine products and related administration codes — indicates the location functions primarily as a walk-in immunization and COVID test distribution point rather than a site for complex procedures or durable medical equipment sales.

    Medicare revenue concentration is substantial: total Medicare revenue is $6.7M and the top 3 Medicare codes account for 58.2% of that Medicare revenue. Specifically, 90662 accounts for $1.7M (24.6%), 91322 for $1.3M (18.6%), and 91320 for $1M (15.0%), showing a heavy dependence on a small set of vaccine products for most Medicare receipts.

    Payer mix is effectively single-payer at scale: this provider reports $6.7M in Medicare revenue and has no Medicaid billing on file (none). That contrast positions RANDALLS FOOD & DRUGS LP as a Medicare-focused immunization and testing provider with negligible or non-existent Medicaid participation in the available data.

    Competitive standing on key vaccine codes is dominant nationally: 90662 (23K claims, $72 avg paid/claim, $1.7M revenue) ranks #9 of 70752 providers nationally (100th percentile) and is described as an extreme outlier, and 91322 (8.7K claims, $143 avg paid/claim, $1.3M) ranks #10 of 29357 (100th percentile) and is an extreme outlier as well. 91320 (7.9K claims, $128 avg paid/claim, $1M) ranks #9 of 27083 (100th percentile) and likewise is an extreme outlier; these ranks indicate the provider is a major national outlier for COVID and flu vaccine volumes.

    Other high-volume service lines support the immunization business model: G0008 (24K claims, $30 avg paid/claim, $719.8K revenue) ranks #9 of 119096 providers nationally (100th percentile) and is an extreme outlier for influenza vaccine administration, while 90480 (16.7K claims, $40 avg paid/claim, $666.5K revenue) ranks #9 of 46950 (100th percentile) and is an extreme outlier for COVID vaccine administration. These administration codes confirm the provider not only dispenses vaccine products but delivers on-site immunization services at scale.

    Testing and lower-revenue items show broader transactional volume but more typical standing: K1034 (54.1K claims, $12 avg paid/claim, $649.4K revenue) ranks #204 of 30143 providers nationally (99th percentile) and is characterized as typical/unremarkable volume, indicating widespread provision of nonprescription self-administered COVID tests without the extreme concentration seen in vaccine lines. Lower-revenue vaccine variants such as 90682 (386 claims, $72 avg paid/claim, $27.8K) and 90686 (560 claims, $22 avg paid/claim, $12.3K) are notably above typical national volume but contribute much less to overall revenue.

    Revenue mix shows some diversification within immunizations but material concentration risk: beyond the top 3 codes that account for 58.2% of Medicare revenue, other vaccine and administration codes (90677: $485.9K; G0008: $719.8K; K1034: $649.4K) provide additional revenue, yet the profile still centers on a few high-volume vaccine products. This pattern suggests business sensitivity to changes in vaccine demand, reimbursement, or public health campaigns tied to influenza and COVID-19.

    Provider tenure is established but not long-standing: the NPI was enumerated on 2015-05-08 (~11 years ago), which aligns with a pharmacy chain/location that has built significant Medicare immunization volume within about a decade. The combination of tenure and extreme national ranking on multiple vaccine codes supports the conclusion that this site has scaled its immunization/testing operations rapidly and sustained high throughput over recent years.

    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.

    14 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…23,050$70$1.7M
    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.8,750$140$1.3M
    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.7,920$130$1M
    G0008Administration of influenza virus vaccine23,990$30$719.8K
    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–19.16,660$40$666.5K
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count54,120$10$649.4K
    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…1,720$280$485.9K
    0134AN/A2,370$40$97.3K
    0124AN/A2,320$40$95.3K
    G0009Administration of pneumococcal vaccine1,800$30$53.9K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    91322814070$140$244.4K
    K10347120310$10$233.1K
    91320714060$130$231.6K
    90662722060$70$161.5K
    90480721080$40$96K
    90677716020$280$81.2K
    90682820100$70$77.3K
    G0008741050$30$42.3K
    0134A67020$40$40.4K
    0124A78030$40$39.8K

    Showing 1–10 of 14

    Nearby Providers

    Other providers in the same ZIP code as Randalls Food & Drugs LP, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Safeway IncIDCommunity/Retail Pharmacy$76.1M$330
    Albertsons LLCIDCommunity/Retail Pharmacy$29M$0
    American Drug Stores LLCIDCommunity/Retail Pharmacy$27.3M$0
    Vons Companies IncIDCommunity/Retail Pharmacy$12.7M$0
    Nai Saturn Eastern LLCIDCommunity/Retail Pharmacy$12.6M$0
    Smiles 4 KidsIDDentist$0$9.6M
    Acme Markets IncIDCommunity/Retail Pharmacy$9.5M$0
    Shaws Supermarkets IncIDCommunity/Retail Pharmacy$5.5M$0
    Saint Alphonsus Regional Medical Center IncIDGeneral Acute Care Hospital$0$5.1M
    Tdandc LLCIDHome Health Agency$0$4.9M

    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. Idaho Distribution
    Randalls Food & Drugs LP — 6 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho