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NPI 1760061352 · Garland, TX · Clinical Medical Laboratory
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Peak Health Diagnostics, LLC is a clinical medical laboratory provider located in Garland, Texas. 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 | Peak Health Diagnostics, LLC |
| Address | 1605 N Garland Ave Ste A |
| City | Garland |
| State | TX |
| ZIP | 75040 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | April 2, 2021 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $8.7M |
| Medicaid | $1.4K |
Business profile: Billing is dominated by diagnostic COVID-19 test distribution rather than a broad clinical lab service mix. The single CPT/HCPCS listed, K1034 (provision of nonprescription self-administered COVID-19 test), is recorded as the revenue driver, suggesting the operation is organized around supplying or processing at‑home COVID tests rather than traditional panel-based laboratory diagnostics.
Medicare revenue concentration: The provider's Medicare activity is entirely concentrated in the top codes — precomputed top 3 Medicare codes account for 100.0% of Medicare revenue. K1034 is reported with $8.9M revenue and 738.2K claims at an average paid/claim of $12, and the dataset flags this code as accounting for virtually the provider's entire Medicare billing footprint.
Medicaid revenue concentration: Medicaid activity is equally concentrated, with precomputed top 3 Medicaid codes accounting for 100.0% of Medicaid revenue. The same code, K1034, represents the provider's Medicaid billing with 711 claims, $2 avg paid/claim, and $1.4K revenue, indicating no material diversity of Medicaid services on file.
Payer mix and scale: The provider is effectively Medicare‑dominated in scale — lifetime Medicare revenue is listed as $8.7M compared with lifetime Medicaid revenue of $1.4K. This large disparity implies the business model primarily targets Medicare reimbursement channels for K1034 transactions while Medicaid plays an immaterial role.
National competitive standing (Medicare): For the K1034 code the provider ranks #58 of 30143 providers nationally and is labeled an "extreme outlier, far above typical national volume for this code." That ranking and the very large claim count (738.2K) indicate a national-scale, high-volume presence for this single test under Medicare reimbursement.
State competitive standing (Medicaid): In Medicaid, the provider ranks #30 of 77 in-state for K1034 and the activity is described as "typical, unremarkable volume for this code." With 711 Medicaid claims and only $1.4K in Medicaid revenue, the provider is a modest in-state participant for this service under Medicaid.
Operational and revenue model implications: The reported pattern — very high claim counts with low average paid/claim ($12 Medicare, $2 Medicaid) — aligns with a high-throughput distribution or dispensing model where margin per unit is small and total revenue is driven by volume. Given the precomputed 100.0% revenue concentration for both payers, strategic changes that affect reimbursement or demand for nonprescription self-tests would materially impact this provider's revenues.
Tenure and market entry: The NPI was enumerated on 2021-04-02 (~5 years ago), indicating a relatively recent market entry consistent with pandemic-era service offerings. The combination of recent enumeration and immediate concentration on K1034 suggests the entity was established or repurposed to capture demand for at‑home COVID testing during the pandemic.
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 | 738,160 | $10 | $8.9M |
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 | 8 | 2,490 | 450 | $10 | $117.8K |
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 | 710 | $1 | $1.4K |
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas 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 | 30 | 80 | 340 | $1 | $1.5K |
Other providers in the same ZIP code as Peak Health Diagnostics, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| City Of Garland Texas | TX | Land Ambulance | $956.9K | $2M |
| Richard Page | TX | Allergy & Immunology Physician | $54.9K | $1.5M |
| Scott Nelson | TX | Foot & Ankle Surgery Podiatrist | $155.8K | $0 |
| Hyun Young Kho | TX | Foot & Ankle Surgery Podiatrist | $152.1K | $0 |
| Kimberly Middleton | TX | Family Medicine Physician | $111K | $0 |
| Nhuan Tran | TX | Optometrist | $92.2K | $0 |
| Gordon Munn | TX | Clinical Social Worker | $90K | $0 |
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