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 Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas 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. Texas (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.

Pharmacy Corporation Of America (NPI 1700819380)

Field	Value
Entity Type	Organization
Organization	Pharmacy Corporation Of America
Address	2214 Paddock Way Dr
City	Grand Prairie
State	TX
ZIP	75050
Taxonomy	Long Term Care Pharmacy
NPI Enumerated	July 8, 2006

Payer Source	Total Paid
Medicare	$3.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
0124A	N/A	40	$40	$1.7K
0004A	N/A	40	$40	$1.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Pharmacy Corporation Of America — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0124A	122	1,070	20	$40	$1.2K
0004A	1	10	30	$40	$1K

Nearby Providers

Other providers in the same ZIP code as Pharmacy Corporation Of America, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Greenwich Healthcare Services Inc	TX	Home Health Agency	$0	$17.1M
Prestonwood Home Healthcare LLC	TX	Home Health Agency	$0	$16M
Navin Parikh	TX	Family Medicine Physician	$68.4K	$0

Pharmacy Corporation Of America — Billing Profile & Reimbursement Data

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Pharmacy Corporation Of America — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References