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NPI 1750444311 · Rock Hill, SC · Pharmacist
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Good Pharmacy Inc. is a pharmacist provider located in Rock Hill, South Carolina. This profile covers 10 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Good Pharmacy Inc. |
| Address | 1237 Ebenezer Rd |
| City | Rock Hill |
| State | SC |
| ZIP | 29732 |
| Taxonomy | Pharmacist |
| NPI Enumerated | December 18, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $696.8K |
| Medicare | $185.5K |
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. | 630 | $140 | $90.1K |
| 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. | 730 | $40 | $27.7K |
| 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… | 60 | $280 | $18.1K |
| G0008 | Administration of influenza virus vaccine | 610 | $20 | $14.7K |
| 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. | 100 | $130 | $12.7K |
| 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. | 510 | $20 | $10.2K |
| 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… | 100 | $70 | $6.8K |
| 0134A | N/A | 70 | $40 | $2.7K |
| G0009 | Administration of pneumococcal vaccine | 70 | $30 | $1.9K |
| 0124A | N/A | 20 | $40 | $850 |
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.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| X1939 | N/A | 2,800 | $60 | $162.5K |
| A4554 | Disposable underpads, all sizes | 4,230 | $30 | $135.2K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 1,790 | $70 | $128.5K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 2,410 | $50 | $127.6K |
| T5999 | Supply, not otherwise specified | 10,100 | $10 | $70.7K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 1,200 | $30 | $34.8K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 660 | $50 | $30.5K |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | 20 | $140 | $2.6K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 20 | $100 | $2.4K |
| T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | 10 | $110 | $1.3K |
How this provider's Medicaid billing volume and revenue compare to other South Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. South Carolina median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | 28 | 30 | 1,650 | $100 | $252.5K |
| A4554 | Disposable underpads, all sizes | 41 | 110 | 2,350 | $30 | $207.9K |
| X1939 | N/A | 23 | 70 | 1,410 | $60 | $179.9K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 23 | 70 | 1,160 | $70 | $143.6K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 22 | 80 | 1,260 | $50 | $130.8K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 41 | 70 | 1,020 | $50 | $109K |
| T5999 | Supply, not otherwise specified | 34 | 120 | 3,700 | $10 | $103.8K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 38 | 70 | 1,500 | $30 | $92.3K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 36 | 50 | 70 | $80 | $72.2K |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | 35 | 40 | 60 | $100 | $64.1K |
Other providers in the same ZIP code as Good Pharmacy Inc., ranked by combined Medicare and Medicaid revenue.
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