Channelview Pharmacy — Billing Profile & Reimbursement Data
NPI 1063515195 · XX · healthcare
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Channelview Pharmacy is a healthcare provider located in Unspecified Location. This profile covers 1 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services. Note: "XX" is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Channelview Pharmacy |
| Address | |
| City | |
| State | XX (Unspecified Location) |
| ZIP | |
| Taxonomy | N/A |
| NPI Enumerated | |
| NPI Deactivated | November 13, 2023 |
(source: CMS Medicare & Medicaid claims data)
Key Findings
CHANNELVIEW PHARMACY reports $7.6M in lifetime Medicare revenue and has no Medicaid billing on file, making its public payer footprint effectively single-payer at the time of these records. The absence of any Medicaid claims means cross‑payer comparisons and in‑state competitive positioning against Medicaid activity cannot be assessed from available data.
Revenue concentration is extreme: K1034 (provision of covid-19 test, nonprescription self-administered and self-collected use) accounts for $7.6M in Medicare revenue and is reported as 100.0% of this provider's total Medicare revenue; the precomputed summary also notes the top three Medicare codes together account for 100.0% of Medicare revenue. This indicates virtually all reported Medicare billing is driven by a single HCPCS product line.
The code-level volume is unusually large for a single provider: K1034 is listed with 635.8K claims and a $12 avg paid/claim, producing the $7.6M revenue figure. That mix — very high claim count with a low per-claim payment — is consistent with high-throughput retail distribution of over‑the‑counter items rather than episodic clinical services.
Service-line implications: ’s description (nonprescription, self‑administered COVID-19 test, FDA approved/authorized/cleared) indicates this entity functions primarily as a dispenser or distributor of OTC COVID-19 tests to Medicare beneficiaries. The billing profile suggests a transactional, product-distribution business model rather than a medical practice providing in‑person clinical care.
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 635,760 | $10 | $7.6M |
Medicare: Competitive Analysis & Benchmarks
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes. Note: this provider's state, "XX," is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.
View: State1 / 2
Full comparison — all codes billed, vs. state median
1 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| K1034 | 11 | 0 | N/A | $N/A | $N/A |
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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