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NPI 1306332390 · Indianapolis, IN · Clinic/Center
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Virag is a clinic/center provider located in Indianapolis, Indiana. This profile covers 1 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Virag |
| Address | 7320 E 82nd St |
| City | Indianapolis |
| State | IN |
| ZIP | 46256 |
| Taxonomy | Clinic/Center |
| NPI Enumerated | July 3, 2018 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $7.7M |
| Medicaid | $610 |
This provider’s Medicare revenue is overwhelmingly driven by a single code: K1034 (Provision of covid-19 test, nonprescription self-administered and self-collected use). The record for K1034 shows 651.6K claims, $12 avg paid/claim, and $7.8M revenue, and is reported as accounting for 100.0% of this provider's total Medicare revenue, which indicates the organization’s operations are strongly centered on COVID-19 test provision for Medicare beneficiaries.
The Medicare revenue mix is highly concentrated: the precomputed top-3 Medicare codes account for 100.0% of total Medicare revenue. Given that K1034 is shown as 100.0% of Medicare revenue, the provider’s Medicare business is essentially single-code dependent rather than diversified across multiple clinical services.
The provider’s Medicaid footprint is negligible compared with Medicare: total Medicare revenue is $7.7M while total Medicaid revenue is $607. This payer mix makes the entity effectively single-payer in economic scale, with Medicare dwarfing Medicaid in revenue contribution.
Medicare competitive standing for K1034 is exceptionally large: the code ranks #63 of 30143 providers nationally and is labeled an "extreme outlier" (100th percentile). That rank indicates this entity operates at a scale far above typical national volume for COVID-19 self-test provisioning and is a major national participant for this specific code.
By contrast, the provider’s Medicaid activity is modest and uneven. The top Medicaid line 92015 (vision refraction) reports 59 claims, $10 avg paid/claim, and $590 revenue and is shown as 100.0% of the provider’s Medicaid revenue; it ranks #630 of 840 in-state (25th percentile) and is characterized as a typical, unremarkable volume for that code, indicating limited Medicaid engagement in routine eye care.
There is an internal Medicaid anomaly worth noting: K1034 appears on the Medicaid file with 770 claims but $0 avg paid/claim and $0 revenue, and is ranked #3 of 40 providers in-state (95th percentile) while still being described as "typical, unremarkable volume". This combination — high claim count but no paid revenue — suggests differences in how Medicaid reimbursed or recorded these particular COVID-19 self-test claims compared with Medicare, and it separates claim activity from cashflow impact on the Medicaid side.
The provider has an established operational tenure: the NPI was enumerated on 2018-07-03 (~8 years ago). This length of registration supports that the observed high-volume Medicare billing for K1034 is not a transient registration artifact but part of a multi-year operational presence.
Taken together, the code mix and revenues imply a business model oriented toward large-scale COVID-19 test provision for Medicare rather than a diversified clinical clinic/center practice. Medicaid billing is minimal and concentrated in a single small refraction code (92015), so the organization competes nationally on the COVID-19 testing axis while remaining a modest participant in state Medicaid services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
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 | 651,550 | $10 | $7.8M |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
1 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| K1034 | 2 | 650 | 460 | $10 | $54.9K |
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.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 92015 | The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced. | 60 | $10 | $590 |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 770 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Indiana median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 92015 | The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced. | 630 | 840 | 390 | $10 | $30.7K |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 3 | 40 | 30 | $1 | $20 |
Other providers in the same ZIP code as Virag, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Community Physicians Of Indiana Inc | IN | Family Medicine Physician | $0 | $185M |
| Aba Programming Inc. | IN | Medical Specialty Clinic/Center | $0 | $54.7M |
| Medical Associates | IN | Emergency Medicine Physician | $0 | $50M |
| Community Health Network, Inc | IN | General Acute Care Hospital | $0 | $32.9M |
| Radiology Of Indiana P C | IN | Diagnostic Radiology Physician | $0 | $22.3M |
| Fairbanks Hospital, Inc. | IN | Psychiatric Hospital | $0 | $18.5M |
| North Campus Surgery Center LLC | IN | Ambulatory Surgical Clinic/Center | $1.3M | $0 |
| Darrel Ross | IN | Radiation Oncology Physician | $870.5K | $0 |
| Kristi George | IN | Neurology Physician | $688.9K | $0 |
| Lorraine Calvert | IN | Adult Health Nurse Practitioner | $484.2K | $0 |
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