NPI 1629093174 — Billing Profile & Reimbursement Data
NPI 1629093174 · XX · healthcare
Customize your policy alerts
Sign up for NPI 1629093174 — Billing Profile & Reimbursement Data policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
NPI 1629093174 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 | NPI 1629093174 |
| Address | |
| City | |
| State | XX (Unspecified Location) |
| ZIP | |
| Taxonomy | N/A |
| NPI Enumerated | |
| NPI Deactivated | April 17, 2025 |
(source: CMS Medicare & Medicaid claims data)
Key Findings
This provider’s Medicare activity is overwhelmingly concentrated in a single code: K1034 (Provision of covid-19 test, nonprescription self-administered and self-collected use). That code is reported at 829.4K claims with a $12 avg paid/claim and $10M revenue, and the precomputed data indicates the top 3 Medicare codes account for 100.0% of this provider's total Medicare revenue, signaling a very narrow Medicare service mix focused on OTC COVID-19 test provision or distribution.
Lifetime Medicare revenue is reported as $9.8M while K1034 is separately listed at $10M and flagged as representing 100.0% of Medicare revenue; this mismatch suggests a rounding or reporting inconsistency in the underlying feeds. Analysts should treat the $9.8M and $10M figures as both present in the record and verify source-level reports if precise reconciliation is required for contracting or audit work.
Payer mix is effectively single-payer on file: there is no Medicaid billing on file ("none below — this provider has no Medicaid billing on file"). With Medicare activity present and Medicaid absent, the provider’s public-program exposure and revenue diversification are concentrated in Medicare reimbursements for a single service area.
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 | 829,390 | $10 | $10M |
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 | 1 | 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.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.