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    OpenPayerNPI Medicare & MedicaidDistrict Of Columbia Cvs Pharmacy, L.L.C.
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    District Of Columbia Cvs Pharmacy, L.L.C. — Billing Profile & Reimbursement Data

    NPI 1841394814 · Washington, DC · Pharmacy

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    District Of Columbia Cvs Pharmacy, L.L.C. is a pharmacy provider located in Washington, District of Columbia. This profile covers 10 Medicare and 7 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
    OrganizationDistrict Of Columbia Cvs Pharmacy, L.L.C.
    Address110 Carroll St Nw
    CityWashington
    StateDC
    ZIP20012
    TaxonomyPharmacy
    NPI EnumeratedSeptember 12, 2006

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

    Payer SourceTotal Paid
    Medicare$119.7K
    Medicaid$0

    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
    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.300$140$42.9K
    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…250$70$17.9K
    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–19.300$40$13.2K
    G0008Administration of influenza virus vaccine340$30$11.6K
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count1,100$10$11K
    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…30$280$9.5K
    0134AN/A160$50$7.4K
    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…80$70$5.4K
    90674This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…10$30$350
    G0009Administration of pneumococcal vaccine30$10$340

    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
    9132258030$140$11.5K
    906772212020$280$6.7K
    K1034640270$10$5.5K
    90694517030$70$4K
    90480812030$40$3.9K
    906622313030$70$3.1K
    0134A43050$50$3K
    G0008527030$30$2K
    90674101020$30$920
    G00092313020$30$770

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    0011AN/A130$0$0
    0012AN/A110$0$0
    0064AN/A30$0$0
    0134AN/A10$0$0
    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…10$0$0
    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…20$0$0
    G0008Administration of influenza virus vaccine50$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. District of Columbia median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    0011AN/A1640100$10$2.6K
    0012AN/A144060$10$2.6K
    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…82020$10$970
    0064AN/A203050$10$720
    0134AN/A111030$10$430
    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…273050$1$150
    G0008Administration of influenza virus vaccine5880110$1$90

    Nearby Providers

    Other providers in the same ZIP code as District Of Columbia Cvs Pharmacy, L.L.C., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Specialty Home Care LLCDCRespite Care$0$85.1M
    Kbc Nursing Agency Hm Health IncDCHome Health Agency$0$82.4M
    Berhan Home Health Care Agency IncDCHome Health Agency$0$76.6M
    Kinara Health And Home Care Services LLCDCMental Health Clinic/Center (Including Community Mental Health Center)$0$48.5M
    Ward & Ward Association, Inc.DCIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$38.7M
    Alliance Home Healthcare & Equipment Services IncDCRespite Care$0$37.5M
    Premier Health Services Inc.DCHome Health Agency$0$36.8M
    Affordable Health Care Services LLCDCDevelopmental Disabilities Clinic/Center$0$25.8M
    Direct Care Home Health Services LLCDCHome Health Agency$0$14.3M
    Kahak, Inc.DCHome Health Agency$0$13.8M

    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. District of Columbia Distribution
    District Of Columbia Cvs Pharmacy, L.L.C. — 3 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — District of Columbia
    Medicaid Revenue by Year vs. District of Columbia Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. District of Columbia Distribution
    District Of Columbia Cvs Pharmacy, L.L.C. — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — District of Columbia