Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Georgia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Georgia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Georgia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Byram Healthcare Centers, Inc. (NPI 1023063641)

Field	Value
Entity Type	Organization
Organization	Byram Healthcare Centers, Inc.
Address	1925 Vaughn Rd Nw
City	Kennesaw
State	GA
ZIP	30144
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	May 23, 2006

Payer Source	Total Paid
Medicaid	$13.3M
Medicare	$0

Key Findings

BYRAM HEALTHCARE CENTERS, INC. is effectively a Medicaid-focused DME/supplies provider: it has no Medicare billing on file and reports $13.3M in lifetime Medicaid revenue, indicating a single-payer footprint concentrated in state Medicaid programs rather than a mixed Medicare/Medicaid business model. This payer mix suggests its revenue exposure and contracting dynamics will be driven largely by state Medicaid policy and fee schedules rather than Medicare rules.

Revenue concentration is moderate-to-high within a small set of products: the precomputed top 3 Medicaid codes account for 28.3% of the provider's total Medicaid revenue, with each of the three leading codes (A4554, T4523, T4522) contributing roughly $1M and ~9.4–9.5% apiece. That level of concentration on a few high-volume supply items implies business risk if reimbursement or utilization for those specific codes shifts.

The code mix indicates core service lines are incontinence management and ostomy/wound care plus intermittent catheter supplies: major revenue drivers include A4554 (disposable underpads), T4523/T4522 (adult disposable incontinence briefs, large/medium), and multiple ostomy barriers and pouches (A4385, A4407, A4362, A4425). This pattern is consistent with a distributor that supplies high-volume consumables used across home care and long-term care settings rather than capital equipment or clinical services.

BYRAM demonstrates a strong in-state competitive position on many DME staple codes: it ranks #1 of state peers for A4554 (100th percentile; notably above typical state volume) and holds #1 ranks for numerous ostomy and incontinence codes (e.g., A4385, A4407, A4362, A4425, A4409) indicating market leadership across multiple product categories at the state level. These repeated #1 placements at the 100th percentile suggest the provider is a dominant distributor for several standard supply lines in Georgia Medicaid.

Not all lines are dominant — the provider shows modest participation on some higher-acuity items: for example, A4353 (intermittent urinary catheter with insertion supplies) is ranked #5 of 5 in-state (0th percentile), and A4230 (infusion set for external insulin pump) is ranked #3 of 3 (0th percentile). These lower ranks indicate BYRAM’s strengths are concentrated in consumable continence and ostomy supplies rather than in certain procedure-linked or specialty devices.

There are clear statistical outliers in utilization that warrant attention for network and utilization review: A4554 is described as notably above typical state volume and is the single largest Medicaid line item for the provider, and A4362, A4425, and A6252 are also flagged as notably above typical state volume. Such outsized volume for specific low-cost consumables can materially shape a Medicaid contract’s spend profile and should be considered when benchmarking unit costs and utilization against other in-state suppliers.

The breadth of codes billed (incontinence briefs across pediatric, youth, adult sizes, ostomy barriers and pouches, wound dressings, and catheters) indicates a diversified consumables portfolio within DME/supplies, reducing reliance on any single product type beyond the top three codes. Operationally, this mix is consistent with serving a continuum of care clients — from pediatric to adult incontinence needs and ostomy/wound care — which supports repeat, high-frequency billing patterns for consumables.

BYRAM’s tenure (NPI enumerated 2006-05-23 (~20 years ago)) gives it a long-established presence in the market, which combined with multiple #1 state ranks suggests durable relationships with Medicaid customers or facilities. For payer/provider analysts, this longevity plus state-level dominance on many codes signals that changes to reimbursement policy or utilization management for incontinence and ostomy supplies could have an outsized impact on local Medicaid spend tied to this vendor.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

120 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A4554	Disposable underpads, all sizes	19,920	$50	$1M
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	8,880	$110	$1M
T4522	Adult sized disposable incontinence product, brief/diaper, medium, each	11,520	$90	$1M
T4524	Adult sized disposable incontinence product, brief/diaper, extra large, each	6,400	$120	$742.4K
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	5,240	$140	$707.3K
T4533	Youth sized disposable incontinence product, brief/diaper, each	9,360	$70	$692.4K
A4385	Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each	11,250	$50	$528.5K
A6197	Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing	4,610	$100	$479.4K
A4353	Intermittent urinary catheter, with insertion supplies	1,080	$350	$374.1K
A6210	Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing	1,340	$270	$365.8K

Showing 1–10 of 120

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Georgia providers billing the same CPT/HCPCS codes.

Claims Volume vs. Georgia Distribution

Byram Healthcare Centers, Inc. — 19 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

120 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A4353	Intermittent urinary catheter, with insertion supplies	5	10	2,830	$540	$1.8M
E0784	External ambulatory infusion pump, insulin	2	10	2,050	$510	$1M
T4533	Youth sized disposable incontinence product, brief/diaper, each	1	10	9,360	$70	$695.5K
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	2	10	4,770	$130	$581.1K
T4522	Adult sized disposable incontinence product, brief/diaper, medium, each	1	10	6,130	$90	$533.1K
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	1	10	4,660	$110	$519.9K
A4230	Infusion set for external insulin pump, non needle cannula type	3	10	2,940	$130	$393.3K
T4524	Adult sized disposable incontinence product, brief/diaper, extra large, each	1	10	3,300	$120	$381.9K
A5057	Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each	1	10	1,660	$150	$254.5K
A4554	Disposable underpads, all sizes	1	10	1,250	$50	$249.2K

Showing 1–10 of 120

Related Providers

Other providers that share a Tax Identification Number (TIN) with Byram Healthcare Centers, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Byram Healthcare Centers, Inc.	CA	Pharmacy	$0	$271.4M
Byram Healthcare Centers, Inc.	IL	Durable Medical Equipment & Medical Supplies	$0	$142.4M
Byram Healthcare Centers, Inc.	OR	Durable Medical Equipment & Medical Supplies	$0	$123.8M
Byram Healthcare Centers, Inc.	NY	Durable Medical Equipment & Medical Supplies	$0	$106.3M
Byram Healthcare Centers, Inc.	WA	Durable Medical Equipment & Medical Supplies	$0	$92.8M
Byram Healthcare Centers, Inc.	TN	Durable Medical Equipment & Medical Supplies	$0	$44.3M
Byram Healthcare Centers, Inc.	CT	Durable Medical Equipment & Medical Supplies	$0	$30.2M
Byram Healthcare Centers, Inc	MA	Durable Medical Equipment & Medical Supplies	$0	$25.2M
Byram Healthcare Centers, Inc.	CO	Durable Medical Equipment & Medical Supplies	$0	$17.4M
Byram Healthcare Centers, Inc.	OH	Durable Medical Equipment & Medical Supplies	$0	$11.5M

Nearby Providers

Other providers in the same ZIP code as Byram Healthcare Centers, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spectrum Pediatric Grp	GA	Medical Specialty Clinic/Center	$0	$2.6M
Newstar Medical Laboratories, LLC	GA	Clinical Medical Laboratory	$290.3K	$1.5M
Dynamic Therapy Associates, Inc	GA	Speech-Language Pathologist	$0	$1.1M
Smita Varshney	GA	Psychiatry Physician	$351.7K	$0
Virna Shulman	GA	Speech-Language Pathologist	$0	$335.6K
Ryan Mathew	GA	Rheumatology Physician	$308.4K	$0
Kyandukhta Kalantari	GA	General Practice Dentistry	$0	$240.1K
Sharika Tillman	GA	Family Nurse Practitioner	$228K	$0
Kadesha Adelakun	GA	Clinical Social Worker	$0	$222.9K
Sonny Dosanjh	GA	Physical Medicine & Rehabilitation Physician	$157.4K	$0

Byram Healthcare Centers, Inc. — Billing Profile & Reimbursement Data

Sign up for Byram Healthcare Centers, Inc. — Billing Profile & Reimbursement Data policy alerts

Byram Healthcare Centers, Inc. — Billing Profile & Reimbursement Data

Sign up for Byram Healthcare Centers, Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References