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NPI 1982603189 · Honesdale, PA · Pharmacy
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Medical Shoppe Ltd is a pharmacy provider located in Honesdale, Pennsylvania. This profile covers 9 Medicare and 20 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 | Medical Shoppe Ltd |
| Address | 1101 Main St |
| City | Honesdale |
| State | PA |
| ZIP | 18431 |
| Taxonomy | Pharmacy |
| NPI Enumerated | July 19, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $789.2K |
| Medicare | $104.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 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. | 320 | $140 | $46.3K |
| 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… | 300 | $80 | $22.6K |
| 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. | 320 | $40 | $12.6K |
| G0008 | Administration of influenza virus vaccine | 380 | $30 | $11.1K |
| 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… | 20 | $280 | $4.2K |
| 0134A | N/A | 90 | $40 | $3.4K |
| 90756 | This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no antibiotics, and is administered as a 0.5 mL injection into… | 80 | $30 | $2.7K |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 110 | $10 | $1.2K |
| G0009 | Administration of pneumococcal vaccine | 20 | $30 | $440 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 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.
20 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 3,310 | $80 | $254.6K |
| E0601 | Continuous positive airway pressure (CPAP) device | 2,450 | $70 | $159.4K |
| A7030 | Full face mask used with positive airway pressure device, each | 1,080 | $100 | $112.3K |
| A7031 | Face mask interface, replacement for full face mask, each | 760 | $70 | $53.1K |
| E0570 | Nebulizer, with compressor | 990 | $40 | $38.5K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 420 | $90 | $36.5K |
| A7037 | Tubing used with positive airway pressure device | 1,140 | $20 | $25.1K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 1,670 | $20 | $25.1K |
| A7035 | Headgear used with positive airway pressure device | 980 | $20 | $19.6K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 70 | $180 | $13.2K |
Showing 1–10 of 20
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
20 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| W1895 | N/A | 14 | 10 | 10,480 | $30 | $1.1M |
| E0603 | Breast pump, electric (ac and/or dc), any type | 30 | 30 | 1,170 | $160 | $579.6K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 65 | 160 | 2,820 | $70 | $484.6K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 52 | 80 | 950 | $90 | $411.3K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 66 | 70 | 1,340 | $40 | $357.1K |
| T4541 | Incontinence product, disposable underpad, large, each | 82 | 90 | 1,530 | $20 | $219.6K |
| A7030 | Full face mask used with positive airway pressure device, each | 42 | 110 | 660 | $80 | $173K |
| E0601 | Continuous positive airway pressure (CPAP) device | 40 | 140 | 1,120 | $50 | $171.2K |
| A7031 | Face mask interface, replacement for full face mask, each | 59 | 110 | 930 | $40 | $116.4K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | 58 | 90 | 770 | $40 | $93.2K |
Showing 1–10 of 20
Other providers in the same ZIP code as Medical Shoppe Ltd, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Wayne Memorial Community Health Centers | PA | Federally Qualified Health Center (FQHC) | $0 | $17.1M |
| Wayne Memorial Community Health Centers | PA | Federally Qualified Health Center (FQHC) | $0 | $10.5M |
| Wayne Memorial Hospital | PA | General Acute Care Hospital | $0 | $9.2M |
| Mountain Laurel Surgery Center, LLC | PA | Ambulatory Surgical Clinic/Center | $618.5K | $445.8K |
| Philip Liu | PA | Otolaryngology Physician | $468.7K | $0 |
| Glenn Woodley | PA | Foot & Ankle Surgery Podiatrist | $268.1K | $280 |
| David Reynolds | PA | Gastroenterology Physician | $194.7K | $0 |
| Sean Mcveigh | PA | Pulmonary Disease Physician | $108.8K | $0 |
| Walter Kaniefski | PA | Emergency Medicine Physician | $47.3K | $4K |
| Melissa Gibblets | PA | Occupational Therapist | $32.6K | $0 |
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