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NPI 1922364330 · Eau Claire, WI · Community/Retail Pharmacy
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Sams East Inc is a community/retail pharmacy provider located in Eau Claire, Wisconsin. 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Sams East Inc |
| Address | 4001 Gateway Dr |
| City | Eau Claire |
| State | WI |
| ZIP | 54701 |
| Taxonomy | Community/Retail Pharmacy |
| NPI Enumerated | April 10, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $178.4K |
| Medicaid | $1.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 91320 | This 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. | 400 | $130 | $51.7K |
| 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… | 180 | $280 | $51.1K |
| 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… | 530 | $70 | $37.8K |
| 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. | 90 | $140 | $12.3K |
| G0008 | Administration of influenza virus vaccine | 550 | $20 | $11.6K |
| 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. | 490 | $10 | $6.4K |
| G0009 | Administration of pneumococcal vaccine | 180 | $20 | $3.5K |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 240 | $10 | $2.4K |
| 0134A | N/A | 30 | $40 | $1.1K |
| 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… | 20 | $30 | $640 |
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
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 91320 | This 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. | 10 | $70 | $790 |
| 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… | 30 | $20 | $430 |
| 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. | 10 | $10 | $90 |
| 90678 | This code represents a bivalent prefusion F vaccine product administered into the muscle to protect against respiratory syncytial virus. | 10 | $0 | $0 |
| 90679 | This code represents a prefusion F (preF) vaccine product administered into the muscle to protect against respiratory syncytial virus. It includes an adjuvant, an ingredient that helps create a… | 150 | $0 | $0 |
| 90750 | The provider injects an adjuvanted vaccine into a muscle to protect the patient against varicella zoster infection. | 160 | $0 | $0 |
| 91301 | N/A | 20 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Wisconsin median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 91320 | This 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. | 107 | 110 | 40 | $80 | $4.6K |
| 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. | 73 | 80 | 40 | $20 | $4K |
| 90750 | The provider injects an adjuvanted vaccine into a muscle to protect the patient against varicella zoster infection. | 13 | 60 | 40 | $20 | $1.7K |
| 90678 | This code represents a bivalent prefusion F vaccine product administered into the muscle to protect against respiratory syncytial virus. | 24 | 20 | 20 | $20 | $650 |
| 90679 | This code represents a prefusion F (preF) vaccine product administered into the muscle to protect against respiratory syncytial virus. It includes an adjuvant, an ingredient that helps create a… | 1 | 40 | 30 | $10 | $510 |
| 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… | 8 | 10 | 60 | $1 | $170 |
| 91301 | N/A | 301 | 330 | 100 | $1 | $10 |
Other providers in the same ZIP code as Sams East Inc, ranked by combined Medicare and Medicaid revenue.
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