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    OpenPayerNPI Medicare & MedicaidHy-vee Inc
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    Hy-vee Inc — Billing Profile & Reimbursement Data

    NPI 1770511933 · Muscatine, IA · Community/Retail Pharmacy

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    Hy-vee Inc is a community/retail pharmacy provider located in Muscatine, Iowa. This profile covers 10 Medicare and 20 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
    OrganizationHy-vee Inc
    Address510 E 6th St
    CityMuscatine
    StateIA
    ZIP52761
    TaxonomyCommunity/Retail Pharmacy
    NPI EnumeratedJune 28, 2006

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

    Payer SourceTotal Paid
    Medicaid$168.6K
    Medicare$139.4K

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.360$130$45.4K
    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…450$80$34.5K
    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$16.7K
    G0008Administration of influenza virus vaccine470$30$13.1K
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count1,020$10$12.2K
    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.90$140$12.2K
    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…10$270$3K
    0124AN/A40$40$1.7K
    0134AN/A10$40$420
    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…10$20$270

    Medicare: Competitive Analysis & Benchmarks

    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

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    913205946090$130$20K
    9132227158080$140$15.2K
    906948557090$80$14.7K
    K103479340440$10$8.6K
    9067767072020$280$8K
    904808082090$40$5.8K
    G0008881,42060$30$3.7K
    0124A12838030$40$1.6K
    0134A25026030$40$1.3K
    9068612419020$20$520

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips3,060$30$76.6K
    A4215Needle, sterile, any size, each1,440$20$28.9K
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count300$80$23.7K
    S8490Insulin syringes (100 syringes, any size)530$30$14.4K
    0001AN/A210$40$7.6K
    0002AN/A200$40$7.3K
    A4259Lancets, per box of 1001,110$1$3.3K
    0004AN/A70$40$2.3K
    0064AN/A40$40$1.5K
    0031AN/A30$40$1.3K

    Showing 1–10 of 20

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Iowa median

    20 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips13280390$20$21.1K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.518570110$10$11.4K
    S8490Insulin syringes (100 syringes, any size)32030$30$8.8K
    0002AN/A94310110$30$6.4K
    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…480520100$10$6.1K
    A4215Needle, sterile, any size, each7100110$20$6K
    0001AN/A101330110$30$5.8K
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count58040$60$5.6K
    0004AN/A6216050$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–19.6512030$20$1.6K

    Showing 1–10 of 20

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Hy-vee Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hy-vee IncIAOxygen Equipment & Supplies (DME)$0$948.5K
    Hy-vee IncMNCommunity/Retail Pharmacy$519.2K$720
    Hy-vee IncILCommunity/Retail Pharmacy$495.3K$0
    Hy-vee IncIACommunity/Retail Pharmacy$264.9K$219.5K
    Hy-vee IncIACommunity/Retail Pharmacy$355.7K$121.1K
    Hy-vee IncIACommunity/Retail Pharmacy$150.6K$317.4K
    Hy-vee IncIACommunity/Retail Pharmacy$311.4K$135K
    Hy-vee IncIACommunity/Retail Pharmacy$278.2K$166.9K
    Hy-vee IncIACommunity/Retail Pharmacy$360.2K$78.8K
    Hy-vee IncIACommunity/Retail Pharmacy$227.1K$193.7K

    Nearby Providers

    Other providers in the same ZIP code as Hy-vee Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Unity HealthcareIAGeneral Acute Care Hospital$0$12.7M
    Crossroads Inc.IAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$10.1M
    Unity HealthcareIARural Health Clinic/Center$0$8.7M
    Unity HealthcareIARural Health Clinic/Center$0$5.1M
    City Of MuscatineIALand Ambulance$497.3K$3.9M
    Unity HealthcareIARural Health Clinic/Center$0$3.8M
    Unity HealthcareIARural Health Clinic/Center$0$3.8M
    Muscatine Community School DistrictIALocal Education Agency (LEA)$0$2.3M
    Nathan OlsonIAGeneral Practice Dentistry$0$2M
    Community Health Care IncIAFederally Qualified Health Center (FQHC)$0$1.9M

    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. Iowa Distribution
    Hy-vee Inc — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa
    Medicaid Revenue by Year vs. Iowa Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Iowa Distribution
    Hy-vee Inc — 2 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa