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    OpenPayerNPI Medicare & MedicaidRed Cross Pharmacy, LLC
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    Red Cross Pharmacy, LLC — Billing Profile & Reimbursement Data

    NPI 1871671065 · Marshall, MO · Long Term Care Pharmacy

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    Red Cross Pharmacy, LLC is a long term care pharmacy provider located in Marshall, Missouri. This profile covers 7 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
    OrganizationRed Cross Pharmacy, LLC
    Address157 S Jefferson Ave
    CityMarshall
    StateMO
    ZIP65340
    TaxonomyLong Term Care Pharmacy
    NPI EnumeratedNovember 2, 2006

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

    Payer SourceTotal Paid
    Medicare$29K
    Medicaid$270

    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.

    7 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.90$140$13.4K
    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…90$80$6.6K
    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$280$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…100$20$2.2K
    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–19.90$20$1.7K
    G0008Administration of influenza virus vaccine190$10$940
    G0009Administration of pneumococcal vaccine20$20$290

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9132225859080$140$14.5K
    9067771599020$270$7.4K
    9069427394060$70$6.6K
    90480493950100$30$4.3K
    G00082672,26050$30$2.5K
    G00096861,06020$30$730
    90686819020$20$610

    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
    A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips60$1$260
    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…30$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…50$0$0
    G0008Administration of influenza virus vaccine80$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Missouri median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips6111070$10$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…194030$1$270
    G0008Administration of influenza virus vaccine4415040$1$40
    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…21040$0$0

    Nearby Providers

    Other providers in the same ZIP code as Red Cross Pharmacy, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    State Of MissouriMODevelopmentally Disabled Services Day Training Agency$0$133.3M
    Common Good-natural LivingMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$32.1M
    John Fitzgibbon Memorial Hospital Inc.MOGeneral Acute Care Hospital$0$4.7M
    Saline County Ambulance District No 3MOAmbulance$279.9K$1.2M
    Jamie UlbrichMOFamily Medicine Physician$114.1K$6.2K
    Jack UhrigMOInternal Medicine Physician$91.1K$0
    Timothy RyanMOInternal Medicine Physician$80.3K$0
    Wal-mart Stores East LPMOCommunity/Retail Pharmacy$49.5K$0
    Daniel FahnestockMOChiropractor$16.4K$0
    Justin CortezMOFamily Nurse Practitioner$8.4K$2.5K

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Missouri Distribution
    Red Cross Pharmacy, LLC — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri
    Medicaid Revenue by Year vs. Missouri Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Missouri Distribution
    Red Cross Pharmacy, LLC — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri