Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidHy-vee Inc
    Ask Trek AI about this page

    Table of contents

    Progress1 / 11

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Hy-vee Inc — Billing Profile & Reimbursement Data

    NPI 1881620060 · Creston, IA · Community/Retail Pharmacy

    Customize your policy alerts

    Sign up for Hy-vee Inc — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Hy-vee Inc is a community/retail pharmacy provider located in Creston, Iowa. This profile covers 9 Medicare and 16 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
    Address600 Sheldon St
    CityCreston
    StateIA
    ZIP50801
    TaxonomyCommunity/Retail Pharmacy
    NPI EnumeratedJune 23, 2006

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

    Payer SourceTotal Paid
    Medicare$183K
    Medicaid$47.4K

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…800$80$60.4K
    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$46K
    G0008Administration of influenza virus vaccine820$30$23K
    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.160$140$22.9K
    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–19.520$40$19.7K
    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…20$270$5.9K
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count200$10$2.4K
    0134AN/A60$40$2.2K
    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…30$20$530

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    913205546090$130$20K
    9132213058080$140$15.2K
    906942857090$80$14.7K
    K1034256340440$10$8.6K
    9067731472020$280$8K
    904804782090$40$5.8K
    G0008271,42060$30$3.7K
    0134A3926030$40$1.3K
    906864219020$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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips1,010$30$27.3K
    0012AN/A170$40$6.2K
    0011AN/A200$30$5.6K
    0064AN/A70$40$2.6K
    A4215Needle, sterile, any size, each120$20$2K
    0001AN/A30$40$1.2K
    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…80$10$830
    0002AN/A20$40$720
    0124AN/A20$40$650
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.80$10$410

    Showing 1–10 of 16

    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

    16 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips87280390$20$21.1K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.327570110$10$11.4K
    0002AN/A272310110$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…282520100$10$6.1K
    A4215Needle, sterile, any size, each51100110$20$6K
    0001AN/A260330110$30$5.8K
    0012AN/A1320040$30$1.7K
    0011AN/A1322040$20$1.5K
    0124AN/A8715030$30$1.5K
    90688This 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.11412050$10$1.4K

    Showing 1–10 of 16

    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
    Southern Iowa Resources For Families, IncIAVoluntary or Charitable Agency$0$18.5M
    Greater Regional Medical CenterIACritical Access Hospital$0$10M
    Crossroads Behavioral Health ServicesIAMental Health Clinic/Center (Including Community Mental Health Center)$0$6.5M
    Innovative Industries Inc.IACommunity/Behavioral Health Agency$0$5.2M
    Homestead Of Creston Operations LLCIAAssisted Living Facility$0$1.9M
    Visiting Nurse Services Of IowaIAHome Health Agency$0$1.1M
    Brian KinkadeIAOptometrist$17.5K$407.1K
    Jane BrownIAPhysical Therapist$63.4K$0
    Steven ReevesIAInternal Medicine Physician$14.8K$0

    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 — 2 of 9 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 — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa