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NPI 1619479243 · Boca Raton, FL · Community/Retail Pharmacy
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All Family Pharmacy LLC is a community/retail pharmacy provider located in Boca Raton, Florida. This profile covers 1 Medicare and 1 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 | All Family Pharmacy LLC |
| Address | 3350 Nw 2nd Ave Ste A34 |
| City | Boca Raton |
| State | FL |
| ZIP | 33431 |
| Taxonomy | Community/Retail Pharmacy |
| NPI Enumerated | February 28, 2018 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $30.5M |
| Medicaid | $560 |
This provider’s Medicare business dwarfs its Medicaid activity: lifetime Medicare revenue is $30.5M versus lifetime Medicaid revenue of $559, so operational scale and revenue risk are effectively concentrated in the Medicare channel. The Medicaid footprint is negligible in dollar terms and does not materially contribute to overall revenue.
Revenue is extremely concentrated within a very small set of Medicare codes: the precomputed top-3 Medicare codes account for 100.0% of this provider’s total Medicare revenue. That concentration indicates the provider’s Medicare performance depends almost entirely on a narrow set of services rather than a diversified mix of pharmacy or ancillary clinical codes.
K1034 is the dominant Medicare billing line: K1034 (Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count) is reported at 2.6M claims, $12 avg paid/claim, and $31.1M revenue (100.0% of this provider's total Medicare revenue). This single-code dominance implies the provider’s reported Medicare revenue is driven by large-volume distribution of nonprescription self-administered COVID-19 tests rather than traditional dispensing or clinical services.
On national competitive standing for the K1034 activity, the provider ranks #6 of 30143 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code). That ranking frames the organization as a major national outlier for COVID self-test provisioning in Medicare, substantially above typical peer volumes.
Given the taxonomy as a Community/Retail Pharmacy and the K1034 code mix, the operational profile is consistent with a retail pharmacy functioning as a high-volume point of distribution for over-the-counter COVID-19 tests to Medicare beneficiaries, rather than a diversified clinical services site. The code description and billing pattern suggest the business model has been oriented toward unitized test provision at scale.
The NPI was enumerated on 2018-02-28 (~8 years ago), indicating the entity has an established enrollment history. Combined with the concentrated, high-volume K1034 billing, this suggests the organization scaled this specific service line after initial enumeration rather than being a brand-new entrant.
The payment dynamics show high unit volume at a low per-unit reimbursement: 2.6M claims at an average paid/claim of $12 produces the outsized revenue contribution attributed to K1034. This profile signals sensitivity to reimbursement or policy changes that affect per-test payment or program eligibility, because overall revenue is driven by very large claim counts rather than higher-margin clinical services.
From a payer-analyst perspective, the provider should be treated as effectively single-payer (Medicare)-dependent for revenue and as a national-scale distributor for K1034. Monitoring should focus on Medicare coverage and reimbursement policy for COVID-19 self-test distribution and on sustaining operational capacity to handle very large claim volumes tied to a single HCPCS code.
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 | 2,591,170 | $10 | $31.1M |
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
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| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| K1034 | 1 | 2,890 | 600 | $10 | $68.5K |
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.
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 | 4,300 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Florida median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 6 | 240 | 60 | $1 | $330 |
Other providers in the same ZIP code as All Family Pharmacy LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Sun Care LLC | FL | Home Health Agency | $0 | $37.8M |
| Josy Enterprises Ii Inc | FL | Home Health Agency | $0 | $18.8M |
| J&r Carefinders | FL | Nursing Care Agency | $0 | $14.8M |
| Nhean Chea | FL | Surgery Physician | $2.7M | $0 |
| William Sunshine | FL | Rheumatology Physician | $2.1M | $0 |
| Sean Sukal | FL | MOHS-Micrographic Surgery Physician | $2M | $0 |
| David Makover | FL | Rheumatology Physician | $1.9M | $0 |
| Jonathan Seckler | FL | Cardiovascular Disease Physician | $1.3M | $0 |
| Jeffrey Fromowitz | FL | Dermatology Physician | $1.1M | $0 |
| Patricio Espinosa | FL | Neuromusculoskeletal Medicine & OMM Physician | $948.9K | $0 |
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