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NPI 1972892438 · Saint Paul, MN · Community/Retail Pharmacy
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Phalen Family Pharmacy Ltd is a community/retail pharmacy provider located in Saint Paul, Minnesota. This profile covers 4 Medicare and 12 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 | Phalen Family Pharmacy Ltd |
| Address | 1001 Johnson Pkwy Ste B23 |
| City | Saint Paul |
| State | MN |
| ZIP | 55106 |
| Taxonomy | Community/Retail Pharmacy |
| NPI Enumerated | April 5, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $15.2K |
| Medicaid | $3.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 40 | $140 | $6K |
| 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… | 120 | $30 | $4K |
| G0008 | Administration of influenza virus vaccine | 120 | $30 | $3.6K |
| 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. | 40 | $40 | $1.7K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.
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.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 0001A | N/A | 70 | $20 | $1.2K |
| G0008 | Administration of influenza virus vaccine | 130 | $10 | $640 |
| 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… | 70 | $10 | $500 |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 30 | $10 | $410 |
| 90656 | This code represents a preservative–free trivalent influenza vaccine product containing split virus components. It is administered into the muscle in a 0.5 mL dosage. | 30 | $10 | $380 |
| 0011A | N/A | 30 | $0 | $0 |
| 0012A | N/A | 30 | $0 | $0 |
| 0124A | N/A | 20 | $0 | $0 |
| 90688 | This 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. | 20 | $0 | $0 |
| 91300 | N/A | 60 | $0 | $0 |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Minnesota median
12 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 475 | 530 | 480 | $10 | $32.8K |
| 0001A | N/A | 129 | 230 | 110 | $30 | $15.4K |
| 0011A | N/A | 114 | 170 | 50 | $50 | $9.9K |
| 0012A | N/A | 105 | 170 | 40 | $60 | $9.9K |
| 0124A | N/A | 104 | 120 | 40 | $30 | $3.6K |
| 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… | 16 | 50 | 30 | $10 | $3K |
| 91301 | N/A | 87 | 90 | 40 | $10 | $1.6K |
| 90688 | This 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. | 110 | 130 | 60 | $10 | $1.6K |
| G0008 | Administration of influenza virus vaccine | 106 | 460 | 50 | $10 | $1.2K |
| 90656 | This code represents a preservative–free trivalent influenza vaccine product containing split virus components. It is administered into the muscle in a 0.5 mL dosage. | 142 | 200 | 60 | $1 | $820 |
Showing 1–10 of 12
Other providers in the same ZIP code as Phalen Family Pharmacy Ltd, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Hmong Home Health Care, LLC | MN | Home Health Agency | $0 | $112.6M |
| Fairview Health Services | MN | Land Ambulance | $2.3M | $48.5M |
| Att Home Health Care Inc. | MN | Home Health Agency | $0 | $30M |
| Express Home Health Care, Inc. | MN | Home Health Agency | $0 | $29.6M |
| West Side Community Health Services, Inc. | MN | Federally Qualified Health Center (FQHC) | $0 | $23.8M |
| Kmjc, LLC | MN | Assisted Living Facility | $0 | $17M |
| James Kukwa | MN | Social Worker | $0 | $10M |
| Overcomer Healthcare Service Corporation | MN | Home Health Registered Nurse | $0 | $8.5M |
| Anew LLC | MN | Addiction (Substance Use Disorder) Counselor | $0 | $8.3M |
| Asian Community Center, LLC | MN | Adult Day Care Clinic/Center | $0 | $7.3M |
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