Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Kansas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Kansas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Kansas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Caremark L.L.C. (NPI 1902887805)

Field	Value
Entity Type	Organization
Organization	Caremark L.L.C.
Address	11162 Renner Boulevard
City	Lenexa
State	KS
ZIP	66219
Taxonomy	Pharmacy
NPI Enumerated	November 8, 2005

Payer Source	Total Paid
Medicaid	$2.5M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J1726	Injection, hydroxyprogesterone caproate, (makena), 10 mg	440	$2,120	$935.7K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	750	$1,020	$766.6K
J7298	Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg	450	$1,000	$448.9K
J2357	Injection, omalizumab, 5 mg	80	$2,700	$216K
90378	Immunoglobulin is a very complex protein that is produced by certain cells in the body to protect it from various types of infections and produce passive immunity. RSV–IgIM (respiratory syncytial…	60	$2,620	$160K
J0585	Injection, onabotulinumtoxina, 1 unit	10	$1,200	$14.4K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kansas Distribution

Caremark L.L.C. — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. Kansas median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1726	Injection, hydroxyprogesterone caproate, (makena), 10 mg	1	10	440	$2,120	$935.5K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	1	10	750	$1,020	$766.2K
J2357	Injection, omalizumab, 5 mg	3	10	170	$1,630	$250.7K
J7298	Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg	1	10	230	$990	$230.2K
90378	Immunoglobulin is a very complex protein that is produced by certain cells in the body to protect it from various types of infections and produce passive immunity. RSV–IgIM (respiratory syncytial…	3	10	90	$1,870	$166.7K
J0585	Injection, onabotulinumtoxina, 1 unit	6	10	320	$420	$118.4K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Caremark L.L.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Procare Pharmacy Direct, LLC.	PA	Specialty Pharmacy	$8.3M	$227.3M
Caremark, L.L.C.	IL	Specialty Pharmacy	$0	$34.1M
Caremark, L.L.C.	CA	Specialty Pharmacy	$13.4M	$19.9M
Caremark, L.L.C.	FL	Specialty Pharmacy	$1.1M	$7.3M
Caremark Puerto Rico Specialty	PR	Specialty Pharmacy	$0	$1.8M

Nearby Providers

Other providers in the same ZIP code as Caremark L.L.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Labone LLC	KS	Clinical Medical Laboratory	$46M	$212.3M
Johnson County Developmental Supports	KS	Home Health Agency	$0	$56.1M
Eurofins Transplant Genomics, LLC	KS	Clinical Medical Laboratory	$20.9M	$482.9K
Boston Heart Diagnostics Corporation	KS	Clinical Medical Laboratory	$9.1M	$10.4M
Crossroads Hospice Of Kansas LLC	KS	Community Based Hospice Care Agency	$0	$6.4M
Catholic Community Hospice Of Northeast Kansas Inc	KS	Community Based Hospice Care Agency	$0	$4.1M
Optum Infusion Services 305, LLC	KS	Home Infusion Therapy Pharmacy	$37.5K	$3.9M
Johnson County Developmental Supports	KS	Case Management Agency	$0	$3M
Heartland Health Laboratories, LLC	KS	Clinical Medical Laboratory	$1.5M	$1.1M
Apria Healthcare LLC	KS	Durable Medical Equipment & Medical Supplies	$0	$1.3M

Caremark L.L.C. — Billing Profile & Reimbursement Data

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Caremark L.L.C. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References