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    OpenPayerNPI Medicare & MedicaidKph Healthcare Services, Inc.
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    Kph Healthcare Services, Inc. — Billing Profile & Reimbursement Data

    NPI 1962519140 · Morrisville, VT · Community/Retail Pharmacy

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    Kph Healthcare Services, Inc. is a community/retail pharmacy provider located in Morrisville, Vermont. This profile covers 10 Medicare and 2 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
    OrganizationKph Healthcare Services, Inc.
    Address97 Morrisville Plaza
    CityMorrisville
    StateVT
    ZIP05661
    TaxonomyCommunity/Retail Pharmacy
    NPI EnumeratedAugust 24, 2006

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

    Payer SourceTotal Paid
    Medicare$112.1K
    Medicaid$1.3K

    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.

    10 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.340$140$48.6K
    90662This 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…250$70$17.1K
    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–19.340$40$13.6K
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count1,060$10$12.7K
    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…30$280$8.1K
    G0008Administration of influenza virus vaccine330$20$5.2K
    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…70$70$4.8K
    0124AN/A40$40$1.5K
    G0009Administration of pneumococcal vaccine20$20$330
    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…10$20$260

    Medicare: Competitive Analysis & Benchmarks

    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

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    913221060180$140$34.2K
    90694466090$80$10.7K
    K10341860750$10$9.4K
    9048018110130$40$7.8K
    90677218020$270$6.8K
    90662814050$70$6.1K
    G00081817070$20$3.5K
    0124A308030$40$1.6K
    G0009287020$30$610
    90686364020$20$590

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each10$90$1K
    A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips460$1$460

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Vermont median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each1010130$70$15.8K
    A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips43050$1$220

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Kph Healthcare Services, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kph Healthcare Services, Inc.NYCommunity/Retail Pharmacy$221.1K$0
    Kph Healthcare Services, Inc.VTCommunity/Retail Pharmacy$93.7K$34.4K
    Kph Healthcare Services, Inc.VTCommunity/Retail Pharmacy$100.2K$320
    Kph Healthcare Services, Inc.VTCommunity/Retail Pharmacy$49.6K$0

    Nearby Providers

    Other providers in the same ZIP code as Kph Healthcare Services, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lamoille County Health Mental Health ServicesVTCommunity/Behavioral Health Agency$0$42.7M
    Green Mountain Support Services Inc.VTCase Manager/Care Coordinator$0$25.9M
    Lamoille County Mental Health ServicesVTCommunity/Behavioral Health Agency$0$22.2M
    Lamoille Health Partners, IncVTCognitive & Behavioral Psychologist$0$10.5M
    Lamoille Health Partners, IncVTFederally Qualified Health Center (FQHC)$0$5.4M
    Lamoille Family Center IncVTPublic Health or Welfare Agency$0$5.2M
    Lamoille Health Partners, IncVTPediatrics Physician$0$4.6M
    Lamoille Health Partners, IncVTDentist$0$1.7M
    Maple Leaf Family DentistryVTGeneral Practice Dentistry$0$1.2M
    Tamarack Family MedicineVTClinic/Center$0$1.1M

    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. Vermont Distribution
    Kph Healthcare Services, Inc. — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Vermont
    Medicaid Revenue by Year vs. Vermont Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Vermont Distribution
    Kph Healthcare Services, Inc. — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Vermont