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NPI 1699313585 · Valley Stream, NY · Community/Retail Pharmacy
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Aaa Gpo Inc is a community/retail pharmacy provider located in Valley Stream, New York. 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 | Aaa Gpo Inc |
| Address | 79 Roosevelt Ave |
| City | Valley Stream |
| State | NY |
| ZIP | 11581 |
| Taxonomy | Community/Retail Pharmacy |
| NPI Enumerated | December 11, 2019 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $13.4M |
| Medicaid | $410 |
Business profile aligns with a high-volume retail testing operation: taxonomy is Community/Retail Pharmacy and the single dominant code, K1034, describes provision of a nonprescription, self‑administered and self‑collected COVID-19 test. The code mix points to retail distribution or dispensing of over‑the‑counter COVID tests rather than provision of traditional pharmacy clinical services or durable medical equipment.
Medicare revenue is highly concentrated: the precomputed top‑3 Medicare codes account for 100.0% of this provider's total Medicare revenue, and reported payments for K1034 are listed as $13.7M and as comprising 100.0% of Medicare revenue. This indicates near‑exclusive reliance on COVID‑19 test billing within the Medicare dataset.
Scale and payer mix are lopsided toward Medicare: lifetime Medicare revenue is reported as $13.4M versus lifetime Medicaid revenue of $406, so Medicaid activity is effectively negligible relative to Medicare and the provider operates as a de facto single‑payer (Medicare) revenue center. Analysts should treat Medicaid claims as immaterial for competitive or network‑planning analyses.
K1034 shows extremely high transactional volume: the provider reported 1.1M claims for K1034 with an average paid per claim of $12 and $13.7M in revenue. This combination of very large claim counts and low per‑claim payment is consistent with mass retail dispensing of single‑use tests and implies substantial throughput and fulfillment capacity.
Competitive standing on the Medicare side is exceptional for K1034: this provider ranks #36 of 30,143 providers nationally for that code, is placed in the 100th percentile, and is described as an extreme outlier far above typical national volume. In plain terms, AAA GPO INC is a national outlier and a dominant volume participant for COVID test dispensing under K1034.
Tenure is relatively recent but long enough to establish operations: the NPI was enumerated on 2019-12-11 (~7 years ago), which aligns with the post‑2019 timeframe when retail COVID testing demand grew. That timing supports a plausible business trajectory focused on pandemic‑era testing products.
Concentration exposes the provider to operational and reimbursement risk: with Medicare revenue virtually all attributable to K1034, changes in coverage policy, reimbursement rates, or demand for nonprescription COVID tests could materially affect overall revenue. Risk managers and contract teams should note the single‑code dependency when modeling future revenue scenarios.
Medicaid footprint is minimal and unlikely to affect payer negotiations or competitive positioning in-state: total Medicaid revenue of $406 indicates essentially no meaningful Medicaid business to inform state‑level contracting, utilization profiling, or capitation discussions.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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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 | 1,139,270 | $10 | $13.7M |
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 | 3 | 1,800 | 730 | $10 | $60.3K |
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 | 2,260 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York 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 | 5 | 20 | 180 | $1 | $2.2K |
Other providers in the same ZIP code as Aaa Gpo Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Craig Sheflin | NY | Family Medicine Physician | $210.7K | $144K |
| Mark Kahn | NY | Dermatology Physician | $331.8K | $0 |
| Joshua Prero | NY | Podiatrist | $161.7K | $0 |
| Jodi Velocci | NY | Physician Assistant | $158.4K | $0 |
| Avishai Neuman | NY | Anesthesiology Physician | $117.9K | $37.4K |
| Alan Nussbaum | NY | Dermatology Physician | $66.7K | $0 |
| Diann Anthony | NY | Podiatrist | $38.6K | $0 |
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