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    Catonsville Pharmacy LLC — Billing Profile & Reimbursement Data

    NPI 1710980255 · Catonsville, MD · Community/Retail Pharmacy

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    Catonsville Pharmacy LLC is a community/retail pharmacy provider located in Catonsville, Maryland. This profile covers 9 Medicare and 10 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)

    FieldValue
    Entity TypeOrganization
    OrganizationCatonsville Pharmacy LLC
    Address6350 Frederick Rd Ste B
    CityCatonsville
    StateMD
    ZIP21228
    TaxonomyCommunity/Retail Pharmacy
    NPI EnumeratedMay 28, 2005

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

    Payer SourceTotal Paid
    Medicare$141.3K
    Medicaid$51.2K

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.330$140$47.3K
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count2,380$10$28.5K
    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–19.440$40$18.7K
    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…230$70$16.7K
    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.110$130$13.4K
    G0008Administration of influenza virus vaccine390$30$12.1K
    90688This 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.160$20$3.1K
    0124AN/A30$40$1.3K
    0134AN/A20$40$990

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    913225668090$140$19.4K
    9132020966060$130$15K
    K103410520430$10$10.7K
    90480661,080100$40$6.4K
    90662831,65060$70$5.8K
    G00081312,79060$30$3.4K
    0124A22054030$40$2K
    0134A30152030$40$1.8K
    90688513020$20$860

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A4927Gloves, non-sterile, per 100830$20$18.3K
    T4541Incontinence product, disposable underpad, large, each420$40$16.5K
    A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips1,760$10$8.8K
    A4553Non-disposable underpads, all sizes230$20$3.4K
    T4537Incontinence product, protective underpad, reusable, bed size, each140$10$1.8K
    T4522Adult sized disposable incontinence product, brief/diaper, medium, each10$110$1.3K
    A4259Lancets, per box of 100650$1$650
    A4247Betadine or iodine swabs/wipes, per box10$20$210
    T4542Incontinence product, disposable underpad, small size, each20$1$20
    0124AN/A50$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Maryland median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T4541Incontinence product, disposable underpad, large, each44502,430$40$427.7K
    A4927Gloves, non-sterile, per 10068902,540$20$213.4K
    T4522Adult sized disposable incontinence product, brief/diaper, medium, each2320430$90$188.5K
    A4553Non-disposable underpads, all sizes28401,720$10$100.9K
    T4542Incontinence product, disposable underpad, small size, each41090$40$46.7K
    T4537Incontinence product, protective underpad, reusable, bed size, each2330860$10$14.9K
    A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips760120$10$4.7K
    A4259Lancets, per box of 1001020290$1$4.5K
    0124AN/A205040$30$3.6K
    A4247Betadine or iodine swabs/wipes, per box41060$10$1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mosaic Community Services, IncMDRehabilitation Clinic/Center$0$38.1M
    Mssf IncMDHome Health Agency$0$36.4M
    Thrive Behavioral Health, LLCMDCommunity/Behavioral Health Agency$0$27.9M
    American Medical Equipment IncMDDurable Medical Equipment & Medical Supplies$0$13.1M
    Emmanuel Elder Care Services LLCMDAdult Day Care Clinic/Center$0$12M
    Patient First Maryland Medical Group PLLCMDFamily Medicine Physician$0$11M
    New Day Health Systems, Inc.MDCommunity/Behavioral Health Agency$0$6.5M
    Nasseri Clinic Of Arthritic & Rheumatic Diseases LLCMDNon-Pharmacy Dispensing Site$0$6.1M
    Family's First LLCMDMental Health Clinic/Center (Including Community Mental Health Center)$0$4.5M
    Jeffrey LandisMDRheumatology Physician$1.7M$0

    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. Maryland Distribution
    Catonsville Pharmacy LLC — 3 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland
    Medicaid Revenue by Year vs. Maryland Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maryland Distribution
    Catonsville Pharmacy LLC — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland