NPI 1730662271 — Billing Profile & Reimbursement Data
NPI 1730662271 · XX · healthcare
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NPI 1730662271 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 1730662271 |
| Address | |
| City | |
| State | XX (Unspecified Location) |
| ZIP | |
| Taxonomy | N/A |
| NPI Enumerated | |
| NPI Deactivated | January 24, 2025 |
(source: CMS Medicare & Medicaid claims data)
Key Findings
This provider’s billed Medicare revenue is reported as $13.1M while Medicaid billing is listed as none, indicating an effectively single-payer footprint concentrated in Medicare rather than a mixed payer practice. The absence of any Medicaid claims on file suggests limited exposure to or participation in state Medicaid programs.
Revenue concentration is extreme: the precomputed top-3 Medicare codes account for 100.0% of this provider’s Medicare revenue, and the single listed code K1034 is reported with $13.4M revenue. This indicates the provider’s Medicare receipts are narrowly focused on a very small set of services rather than a diversified procedure mix.
The top revenue-driving code, K1034, is described as the provision of a COVID-19 nonprescription self-administered, self-collected test; the listing shows 1.1M claims at $12 avg paid/claim and $13.4M revenue. That code mix implies the operation is oriented toward high-volume distribution or billing of self-test kits to Medicare beneficiaries rather than traditional hands-on clinical care.
On competitive standing for the primary code , the provider ranks #38 of 30143 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code). This rank characterizes the provider as a national-scale outlier and a dominant participant for that specific COVID-19 test code.
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 | 1,114,260 | $10 | $13.4M |
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 | 4 | 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.
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