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    OpenPayerNPI Medicare & MedicaidHyvacs, LLC
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    Hyvacs, LLC — Billing Profile & Reimbursement Data

    NPI 1700115086 · Omaha, NE · Community/Retail Pharmacy

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    Hyvacs, LLC is a community/retail pharmacy provider located in Omaha, Nebraska. This profile covers 0 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    (source: NPPES NPI Registry)

    Table of contents

    Progress1 / 7

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    Provider details
    FieldValue
    Entity TypeOrganization
    OrganizationHyvacs, LLC
    Address10004 S 152nd St
    CityOmaha
    StateNE
    ZIP68138
    TaxonomyCommunity/Retail Pharmacy
    NPI EnumeratedDecember 15, 2009

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

    Payer SourceTotal Paid
    Medicaid$1.1M
    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2315Injection, naltrexone, depot form, 1 mg300$1,500$444.6K
    S0013Esketamine, nasal spray, 1 mg170$2,070$350.2K
    90378Immunoglobulin is a very complex protein that is produced by certain cells in the body to protect it from various types of infections and produce passive immunity. RSV–IgIM (respiratory syncytial…240$1,070$252K
    J0741Injection, cabotegravir and rilpivirine, 2mg/3mg20$3,720$67K
    A4221Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)400$20$6.8K
    J0171Injection, adrenalin, epinephrine, 0.1 mg40$0$0
    S9562Home injectable therapy, palivizumab or other monoclonal antibody for rsv, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and…90$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Nebraska median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90378Immunoglobulin is a very complex protein that is produced by certain cells in the body to protect it from various types of infections and produce passive immunity. RSV–IgIM (respiratory syncytial…210240$1,540$424.6K
    S0013Esketamine, nasal spray, 1 mg110170$2,070$350.1K
    J2315Injection, naltrexone, depot form, 1 mg110170$1,410$233.8K
    J0741Injection, cabotegravir and rilpivirine, 2mg/3mg11020$3,720$67K
    A4221Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)710740$20$24.3K
    J0171Injection, adrenalin, epinephrine, 0.1 mg41070$1$380
    S9562Home injectable therapy, palivizumab or other monoclonal antibody for rsv, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and…11090$0$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Amber Enterprises Inc.NECommunity/Retail Pharmacy$0$2.4M
    United Seating And Mobility LLCNEDurable Medical Equipment & Medical Supplies$0$1.6M

    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. Nebraska Providers
    1 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nebraska Distribution
    Hyvacs, LLC — 1 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nebraska