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NPI 1730266875 · Tallman, NY · Community/Retail Pharmacy
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Diabetic & Prescription Center Inc is a community/retail pharmacy provider located in Tallman, New York. This profile covers 12 Medicare and 24 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 | Diabetic & Prescription Center Inc |
| Address | 296 Route 59 |
| City | Tallman |
| State | NY |
| ZIP | 10982 |
| Taxonomy | Community/Retail Pharmacy |
| NPI Enumerated | November 1, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2.6M |
| Medicare | $284K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 6,030 | $10 | $72.4K |
| 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. | 510 | $140 | $72.2K |
| 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. | 670 | $50 | $30.9K |
| 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… | 80 | $280 | $23.4K |
| G0008 | Administration of influenza virus vaccine | 660 | $40 | $23K |
| 90662 | This 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… | 310 | $70 | $22.5K |
| 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. | 170 | $130 | $21.4K |
| 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… | 150 | $80 | $11K |
| 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. | 200 | $20 | $4K |
| G0009 | Administration of pneumococcal vaccine | 90 | $30 | $2.4K |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
12 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| K1034 | 31 | 1,800 | 730 | $10 | $60.3K |
| 91320 | 335 | 1,190 | 70 | $130 | $18K |
| 91322 | 41 | 1,540 | 70 | $140 | $16.5K |
| 90677 | 69 | 2,480 | 20 | $280 | $7.8K |
| 90694 | 611 | 3,120 | 60 | $70 | $7.1K |
| 90480 | 34 | 2,260 | 100 | $40 | $6.4K |
| 90662 | 31 | 4,000 | 40 | $70 | $4.1K |
| G0008 | 51 | 7,140 | 50 | $30 | $2.8K |
| 0124A | 807 | 1,040 | 30 | $40 | $2.1K |
| 0134A | 394 | 750 | 30 | $40 | $2.1K |
Showing 1–10 of 12
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.
24 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A4554 | Disposable underpads, all sizes | 14,160 | $40 | $580.6K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 7,310 | $60 | $453.1K |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | 7,340 | $50 | $330.2K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 11,970 | $30 | $311.3K |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | 3,790 | $70 | $250.3K |
| T4543 | Adult sized disposable incontinence product, protective brief/diaper, above extra large, each | 1,430 | $130 | $189K |
| T4537 | Incontinence product, protective underpad, reusable, bed size, each | 6,750 | $30 | $182.3K |
| A4927 | Gloves, non-sterile, per 100 | 17,730 | $1 | $70.9K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 890 | $60 | $55.4K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 1,070 | $50 | $52.5K |
Showing 1–10 of 24
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
24 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A4554 | Disposable underpads, all sizes | 50 | 270 | 1,960 | $40 | $584.4K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 43 | 220 | 1,050 | $80 | $575.4K |
| T4543 | Adult sized disposable incontinence product, protective brief/diaper, above extra large, each | 26 | 60 | 850 | $160 | $522K |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | 46 | 170 | 1,490 | $90 | $464.5K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 44 | 200 | 2,660 | $30 | $442.1K |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | 32 | 200 | 960 | $50 | $417K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 6 | 10 | 890 | $60 | $308.4K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 6 | 10 | 770 | $60 | $278.1K |
| E1399 | Durable medical equipment, miscellaneous | 21 | 60 | 470 | $150 | $258.2K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 7 | 10 | 470 | $70 | $252.3K |
Showing 1–10 of 24
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