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    OpenPayerNPI Medicare & MedicaidGuardian Pharmacy Of Eastern Nc, LLC
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    Guardian Pharmacy Of Eastern Nc, LLC — Billing Profile & Reimbursement Data

    NPI 1730478827 · Kernersville, NC · Long Term Care Pharmacy

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    Guardian Pharmacy Of Eastern Nc, LLC is a long term care pharmacy provider located in Kernersville, North Carolina. This profile covers 11 Medicare and 4 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
    OrganizationGuardian Pharmacy Of Eastern Nc, LLC
    Address1029 E Mountain St
    CityKernersville
    StateNC
    ZIP27284
    TaxonomyLong Term Care Pharmacy
    NPI EnumeratedMarch 30, 2011

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

    Payer SourceTotal Paid
    Medicare$203.4K
    Medicaid$8.4K

    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.

    11 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.590$140$83.7K
    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…380$70$27K
    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–19.590$40$22.8K
    90677This 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$22.7K
    G0008Administration of influenza virus vaccine650$30$17K
    0134AN/A220$40$8.4K
    90694This 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…100$80$7.4K
    0124AN/A150$40$6K
    90686This 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…180$20$4K
    G0009Administration of pneumococcal vaccine100$30$3K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9132271,21050$140$11.3K
    90677391,81020$280$6.7K
    906945472,25040$70$5.7K
    90662122,35040$70$4.6K
    90480111,75080$30$3.7K
    907328411020$130$2.4K
    G0008154,58050$30$2.3K
    0134A1058020$40$1.5K
    0124A1377020$40$1.3K
    G0009202,04020$30$670

    Showing 1–10 of 11

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q0513Pharmacy dispensing fee for inhalation drug(s); per 30 days1,630$10$8.2K
    J7620Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme780$1$780
    J7613Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg120$1$120
    0134AN/A10$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. North Carolina median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    0134AN/A222030$20$1.3K
    Q0513Pharmacy dispensing fee for inhalation drug(s); per 30 days23050$1$940
    J7620Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme36030$1$400
    J7613Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg248060$1$60

    Nearby Providers

    Other providers in the same ZIP code as Guardian Pharmacy Of Eastern Nc, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eugene WadeNCFamily Medicine Physician$7.2M$0
    Advantis Laboratories LLCNCClinical Medical Laboratory$322.9K$448.1K
    Adnan JavaidNCPulmonary Disease Physician$199.7K$392.2K
    Digestive Health Specialists, PANCAmbulatory Surgical Clinic/Center$124.3K$13.5K
    Andrew ChowNCInternal Medicine Physician$85.8K$0
    Davonia MichaelNCAnatomic Pathology & Clinical Pathology Physician$82.2K$0
    Alexander PowersNCNeurological Surgery Physician$55.6K$0
    Stephen CockburnNCNeurology Physician$53K$0
    Kernersville Pharmacy LLCNCCommunity/Retail Pharmacy$52.7K$0
    Jennifer HarveyNCFamily Medicine Physician$28.5K$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. North Carolina Distribution
    Guardian Pharmacy Of Eastern Nc, LLC — 9 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina
    Medicaid Revenue by Year vs. North Carolina Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Carolina Distribution
    Guardian Pharmacy Of Eastern Nc, LLC — 2 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina