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NPI 1700970118 · Somerset, KY · Community/Retail Pharmacy
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Medicine Shoppe Of Somerset Inc is a community/retail pharmacy provider located in Somerset, Kentucky. This profile covers 10 Medicare and 22 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 | Medicine Shoppe Of Somerset Inc |
| Address | 900 E Mount Vernon St |
| City | Somerset |
| State | KY |
| ZIP | 42501 |
| Taxonomy | Community/Retail Pharmacy |
| NPI Enumerated | October 3, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $94.5K |
| Medicaid | $4.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 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. | 220 | $140 | $31.9K |
| 90694 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL… | 260 | $80 | $19.6K |
| 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. | 300 | $40 | $11.4K |
| G0008 | Administration of influenza virus vaccine | 410 | $30 | $10.3K |
| 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. | 80 | $130 | $9.7K |
| 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… | 20 | $280 | $5.9K |
| 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… | 150 | $20 | $3.3K |
| 0134A | N/A | 30 | $30 | $1K |
| G0009 | Administration of pneumococcal vaccine | 30 | $30 | $780 |
| 0124A | N/A | 20 | $40 | $570 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
22 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 1,260 | $1 | $5.1K |
| Q0513 | Pharmacy dispensing fee for inhalation drug(s); per 30 days | 50 | $1 | $190 |
| 0001A | N/A | 200 | $0 | $0 |
| 0011A | N/A | 40 | $0 | $0 |
| 0012A | N/A | 20 | $0 | $0 |
| 0031A | N/A | 50 | $0 | $0 |
| 0053A | N/A | 40 | $0 | $0 |
| 0064A | N/A | 60 | $0 | $0 |
| 0124A | N/A | 110 | $0 | $0 |
| 0134A | N/A | 20 | $0 | $0 |
Showing 1–10 of 22
How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kentucky median
22 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 0001A | N/A | 45 | 180 | 60 | $20 | $8.3K |
| 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… | 166 | 580 | 100 | $10 | $4.9K |
| 0012A | N/A | 180 | 210 | 60 | $20 | $3.6K |
| 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. | 7 | 40 | 30 | $40 | $3.2K |
| Q0513 | Pharmacy dispensing fee for inhalation drug(s); per 30 days | 26 | 40 | 80 | $10 | $3.1K |
| 0011A | N/A | 130 | 220 | 50 | $20 | $2.9K |
| 90674 | This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL… | 69 | 150 | 50 | $10 | $2.7K |
| 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. | 15 | 60 | 30 | $20 | $2.6K |
| 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. | 17 | 30 | 20 | $40 | $2.5K |
| 90688 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose. | 86 | 290 | 70 | $10 | $2.1K |
Showing 1–10 of 22
Other providers in the same ZIP code as Medicine Shoppe Of Somerset Inc, ranked by combined Medicare and Medicaid revenue.
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