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NPI 1881162972 · Bismarck, ND · Community/Retail Pharmacy
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White Drug Co Of Jamestown Inc is a community/retail pharmacy provider located in Bismarck, North Dakota. This profile covers 11 Medicare and 12 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 | White Drug Co Of Jamestown Inc |
| Address | 900 43rd Ave Ne |
| City | Bismarck |
| State | ND |
| ZIP | 58503 |
| Taxonomy | Community/Retail Pharmacy |
| NPI Enumerated | November 6, 2018 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $59.4K |
| Medicaid | $4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 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. | 190 | $140 | $26.7K |
| 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. | 190 | $40 | $7.1K |
| G0008 | Administration of influenza virus vaccine | 230 | $30 | $7K |
| 90694 | This 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… | 80 | $80 | $5.7K |
| 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… | 80 | $70 | $5.6K |
| 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… | 10 | $280 | $3.4K |
| 90674 | This 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… | 40 | $30 | $1.4K |
| 90686 | This 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… | 40 | $20 | $860 |
| 0124A | N/A | 20 | $40 | $620 |
| 0134A | N/A | 10 | $40 | $550 |
Showing 1–10 of 11
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 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.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 90674 | This 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… | 60 | $10 | $880 |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 120 | $10 | $690 |
| 90686 | This 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 | $10 | $490 |
| 0001A | N/A | 50 | $10 | $490 |
| 90656 | This code represents a preservative–free trivalent influenza vaccine product containing split virus components. It is administered into the muscle in a 0.5 mL dosage. | 60 | $10 | $460 |
| 0002A | N/A | 50 | $10 | $420 |
| 0003A | N/A | 20 | $10 | $320 |
| 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. | 30 | $10 | $250 |
| 0124A | N/A | 70 | $1 | $140 |
| 90685 | This code represents a quadrivalent flu vaccine given by injection into the muscle. It is a split–virus vaccine, preservative–free, and provided in a 0.25 mL dose. | 20 | $0 | $0 |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other North Dakota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Dakota median
12 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 59 | 100 | 170 | $20 | $34.7K |
| 0002A | N/A | 15 | 30 | 60 | $30 | $7.1K |
| 0001A | N/A | 14 | 30 | 50 | $20 | $5.7K |
| 90686 | This 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… | 38 | 70 | 100 | $1 | $3K |
| 0003A | N/A | 3 | 10 | 30 | $50 | $2.7K |
| 0124A | N/A | 7 | 20 | 40 | $20 | $1.6K |
| 90656 | This code represents a preservative–free trivalent influenza vaccine product containing split virus components. It is administered into the muscle in a 0.5 mL dosage. | 19 | 40 | 50 | $1 | $650 |
| 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. | 13 | 30 | 30 | $1 | $250 |
| 90674 | This 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… | 3 | 10 | 20 | $1 | $200 |
| G0008 | Administration of influenza virus vaccine | 2 | 40 | 30 | $1 | $50 |
Showing 1–10 of 12
Other providers in the same ZIP code as White Drug Co Of Jamestown Inc, ranked by combined Medicare and Medicaid revenue.
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