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NPI 1700333606 · Boca Raton, FL · Pharmacy
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Ez Rx Boynton Beach LLC is a 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 | Ez Rx Boynton Beach LLC |
| Address | 190 Glades Rd Ste A |
| City | Boca Raton |
| State | FL |
| ZIP | 33432 |
| Taxonomy | Pharmacy |
| NPI Enumerated | September 8, 2016 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $23.1M |
| Medicaid | $3.6K |
EZ RX BOYNTON BEACH LLC is filed under the Pharmacy taxonomy and reported $23.1M in lifetime Medicare revenue versus $3.6K in lifetime Medicaid revenue, indicating Medicare is overwhelmingly the incumbent payer and the practice is effectively single‑payer in scale. The provider’s NPI was enumerated on 2016-09-08 (~10 years ago), giving it a multi‑year operating history in the local market.
Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes by revenue account for 100.0% of this provider's total Medicare revenue, signaling near-total dependency on a very small set of services for Medicare receipts. That concentration implies the provider’s Medicare financial profile is driven by a narrow operational footprint rather than a diversified clinical mix.
The provider’s Medicare billing is dominated by a single HCPCS code: K1034 (Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count). For K1034 the record shows 2M claims, $12 avg paid/claim, and $23.5M revenue, which represents 100.0% of the entity’s reported Medicare revenue.
On competitive standing for its top code, EZ RX BOYNTON BEACH ranks #15 of 30143 providers nationally and is labeled an “extreme outlier, far above typical national volume for this code.” That ranking and descriptor position the provider as a national-scale outlier and a dominant participant for K1034 relative to peers.
The code mix—primarily K1034—aligns with a high-volume retail or distribution operation typical of pharmacies provisioning nonprescription, self‑administered COVID-19 tests rather than a diversified clinical services provider. The high claim count (2M) with a low average payment ($12) suggests transaction-heavy throughput consistent with over-the-counter test distribution.
Medicaid billing is negligible in comparison: total Medicaid revenue of $3.6K is many orders of magnitude below Medicare receipts, and no Medicaid top-25 codes are reported for in‑state comparison. This disparity indicates minimal engagement with Medicaid-covered services or beneficiaries and little revenue diversification across payers.
Because a single code (K1034) accounts for the entirety of reported Medicare revenue, changes in reimbursement policy, demand for nonprescription self-tests, or coding practice for that service would materially affect the provider’s Medicare revenue profile. Analysts should treat the provider’s Medicare performance as tightly coupled to the market dynamics and regulatory treatment of K1034.
From a payer-competitor research perspective, the provider should be classified as a specialized, high-volume dispenser of COVID-19 self-tests at the national level for Medicare, while having minimal footprint in Medicaid; this combination indicates specialized market positioning rather than broad multiservice competition across payers.
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 | 1,960,460 | $10 | $23.5M |
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 | 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 | 9,850 | $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 | 3 | 240 | 60 | $1 | $330 |
Other providers in the same ZIP code as Ez Rx Boynton Beach LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| We Care Nurse Registry,inc. | FL | In Home Supportive Care Agency | $0 | $9.5M |
| Boca Raton Outpatient Surgery & Laser Center Ltd | FL | Ambulatory Surgical Clinic/Center | $3.1M | $138.6K |
| Jonathan Rosman | FL | Clinical Cardiac Electrophysiology Physician | $953.9K | $0 |
| Murray Rosenbaum | FL | Clinical Cardiac Electrophysiology Physician | $921.5K | $0 |
| Attica Chang | FL | Specialist | $775.3K | $0 |
| Eric Berkowitz | FL | Clinical Cardiac Electrophysiology Physician | $693.3K | $0 |
| Jonathan Hinds | FL | Emergency Medicine Physician | $624.7K | $10 |
| Alan Aker | FL | Ophthalmology Physician | $624.3K | $0 |
| Salomon Salama | FL | Ophthalmology Physician | $592.2K | $0 |
| William Kelly | FL | Ophthalmology Physician | $320.8K | $0 |
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