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    OpenPayerNPI Medicare & MedicaidUnion Pharmacy, LLC
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    Union Pharmacy, LLC — Billing Profile & Reimbursement Data

    NPI 1952860801 · Newton Center, MA · Pharmacy

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    Union Pharmacy, LLC is a pharmacy provider located in Newton Center, Massachusetts. This profile covers 11 Medicare and 1 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
    OrganizationUnion Pharmacy, LLC
    Address103 Union St
    CityNewton Center
    StateMA
    ZIP02459
    TaxonomyPharmacy
    NPI EnumeratedMarch 19, 2019

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

    Payer SourceTotal Paid
    Medicare$478K
    Medicaid$0

    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.

    11 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.1,330$140$189.8K
    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…1,240$70$87.9K
    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–19.1,580$40$61.5K
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count2,840$10$34K
    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.250$130$31.9K
    G0008Administration of influenza virus vaccine1,290$20$29.6K
    0124AN/A450$50$20.3K
    0134AN/A350$50$15.6K
    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…20$280$5.6K
    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…50$30$1.6K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    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

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    913221650150$140$29.1K
    9132018164080$130$25.1K
    K1034977001,190$10$16.5K
    9048031,130160$40$9.4K
    9069441,53050$70$8.6K
    906779531,81020$280$7.7K
    0134A346060$40$3.5K
    G000843,49040$30$3.5K
    0124A247040$40$3K
    G00098631,93020$30$780

    Showing 1–10 of 11

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0008Administration of influenza virus vaccine10$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Massachusetts median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0008Administration of influenza virus vaccine8901,03060$1$1.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mass General Brigham Home Care, Inc.MAHome Health Agency$0$17.3M
    Longevity Care, Inc.MAIn Home Supportive Care Agency$0$14.9M
    Hospice Of The Good Shepherd, Inc.MACommunity Based Hospice Care Agency$0$10.9M
    Neurocare, Inc.MASleep Disorder Diagnostic Clinic/Center$279.2K$758.9K
    Timothy QuinnMADermatopathology (Pathology) Physician$471.8K$0
    Julie ReimannMADermatopathology Physician$398.9K$0
    Scott MccarthyMAFamily Nurse Practitioner$186.3K$0
    Michael GussMAOrthopaedic Surgery Physician$136.1K$0
    Haroon MalikMAClinical Neuropsychologist$16.8K$0
    Sumi DolbenMAAdult Psychiatric/Mental Health Clinical Nurse Specialist$14.7K$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. Massachusetts Distribution
    Union Pharmacy, LLC — 7 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts
    Medicaid Revenue by Year vs. Massachusetts Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    Union Pharmacy, LLC — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts