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    Professional Pharmacy Services — Billing Profile & Reimbursement Data

    NPI 1750321402 · Johnstown, CO · Long Term Care Pharmacy

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    Professional Pharmacy Services is a long term care pharmacy provider located in Johnstown, Colorado. This profile covers 9 Medicare and 14 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
    OrganizationProfessional Pharmacy Services
    Address4775 Larimer Parkway
    CityJohnstown
    StateCO
    ZIP80534
    TaxonomyLong Term Care Pharmacy
    NPI EnumeratedJune 8, 2006

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

    Payer SourceTotal Paid
    Medicaid$95.2K
    Medicare$87.5K

    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.220$140$30.9K
    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…320$70$22.1K
    G0008Administration of influenza virus vaccine410$30$12.4K
    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…20$280$6.8K
    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–19.230$30$6.8K
    0124AN/A70$40$2.8K
    M0201Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s)…80$40$2.8K
    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…100$20$2.2K
    G0009Administration of pneumococcal vaccine20$30$740

    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
    913224548080$130$51.7K
    904809788080$40$16.1K
    9067727292020$270$15.4K
    90662361,23040$70$15.2K
    G0008261,83040$30$7.4K
    0124A3433020$40$6.1K
    M020121030$40$2K
    G00093311,05020$30$1.6K
    90686415010$20$1.5K

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    B4150Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…1,140$50$57.9K
    0004AN/A130$50$6.1K
    A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips960$10$5.7K
    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.40$130$5.5K
    0124AN/A80$60$4.2K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.230$20$3.6K
    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…200$20$3.2K
    0011AN/A90$40$3K
    0012AN/A60$40$2.4K
    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–19.40$50$2.3K

    Showing 1–10 of 14

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Colorado median

    14 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    B4150Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…19401,190$90$424.3K
    A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips94350280$30$20.7K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.4111,210110$10$13.2K
    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.2612020$70$6.6K
    0012AN/A16434060$30$6K
    0011AN/A13236060$30$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–19.9730030$30$3.7K
    0124AN/A4119030$40$3.4K
    A4259Lancets, per box of 100109140170$10$3.4K
    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…28786080$10$3.2K

    Showing 1–10 of 14

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thompson River Pediatrics And Urgent Care, LLCCOPediatrics Physician$0$8M
    Revelyn ArroganteCOPhysical Medicine & Rehabilitation Physician$294.3K$0
    Arete Surgical Center, LLCCOAmbulatory Surgical Clinic/Center$280K$0
    Sarah HoweCONurse Practitioner$246K$0
    Edward DonnerCOOrthopaedic Surgery of the Spine Physician$220K$0
    Jack TorresCOPhysical Medicine & Rehabilitation Physician$144K$0
    Aaron McgrewCOMedical Physician Assistant$106.6K$0
    Harmony Imaging Center LLCCODiagnostic Radiology Physician$76.3K$0
    Christopher KottenstetteCOMedical Physician Assistant$13K$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. Colorado Distribution
    Professional Pharmacy Services — 3 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado
    Medicaid Revenue by Year vs. Colorado Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Colorado Distribution
    Professional Pharmacy Services — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado