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 Tennessee for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Tennessee 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. Tennessee (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 1023438538)

Field	Value
Entity Type	Organization
Organization	Byram Healthcare Centers, Inc.
Address	7475 Mcvay Station Ct
City	Germantown
State	TN
ZIP	38138
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	April 23, 2014

Payer Source	Total Paid
Medicaid	$44.3M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $44.3M in lifetime Medicaid revenue, so its billing footprint is effectively single-payer and concentrated in state Medicaid programs rather than split between Medicare and Medicaid. Analysts should treat BYRAM HEALTHCARE CENTERS, INC. as a Medicaid-focused durable medical equipment/supplies supplier when evaluating competitive dynamics or network access.

Revenue concentration is high: the top three Medicaid codes by revenue account for 52.6% of this provider’s total Medicaid revenue. Those top drivers are A9276 ($13.3M, 32.4% of Medicaid revenue), A9277 ($4.3M, 10.6%), and K0553 ($4M, 9.7%), indicating a small set of product lines produces the majority of reported Medicaid dollars.

The code mix signals a strong clinical specialization in diabetes management and durable insulin-delivery products alongside wound and ostomy supplies. High-volume CGM and pump-related codes (A9276, A9277, K0553, A9274, E0784, A4230) plus frequent ostomy/wound items (A4385, A4409, A6197, A6210) suggest the operation emphasizes recurring supply fulfillment and durable device provisioning rather than episodic single-use items.

BYRAM is a dominant in-state supplier for many of its top codes: it ranks #1 statewide and at the 100th percentile for A9276, A9277, K0553 and numerous other codes, marking it as the major Medicaid supplier in Tennessee for CGM and insulin pump supplies. This statewide leadership means payers and competitors should consider it a primary incumbent for those product lines when modeling network capacity or vendor substitution.

A4239 is identified as an "extreme outlier, far above typical state volume" (15K claims, $2.5M), while several other CGM and supply codes are labeled "notably above typical state volume" (for example, A9277 and K0553). These statistical labels indicate volumes well outside typical peer activity and reinforce that BYRAM’s CGM supply business is atypically large relative to other in-state providers.

Claim counts and paid-per-claim mix show both high-frequency consumables and high-dollar durable items: A9276 has 48.4K claims at $274 avg paid/claim, K0553 has 21.6K claims at $184 avg paid/claim, and E0784 contributes $3.2M with an $1188 avg paid/claim. The combination of large daily/monthly supply billing and fewer but expensive durable pumps means revenue risk and margin dynamics vary by product line and should be evaluated separately in contracting.

Operational and contracting implications follow from heavy recurring volumes: the large counts for recurring-supply codes (A9276 48.4K claims, K0553 21.6K claims, A9277 9.2K claims) imply substantial logistics, inventory, and prior-authorization activity to sustain monthly and daily supply fulfillment. Payers negotiating with BYRAM should account for steady utilization patterns and prioritize Medicaid rate and utilization controls rather than Medicare-focused levers, given the lack of Medicare billing.

The provider’s NPI was enumerated on 2014-04-23 (~12 years ago), indicating an established presence in the market; combined with its sustained top-ranked volumes, this tenure supports the interpretation that BYRAM is a long-running, specialized DME supplier within Tennessee Medicaid rather than a transient or new entrant.

Medicaid: Complete Services Breakdown

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

114 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	48,400	$270	$13.3M
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	9,160	$470	$4.3M
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	21,560	$180	$4M
A9274	External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories	7,810	$490	$3.8M
E0784	External ambulatory infusion pump, insulin	2,730	$1,190	$3.2M
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	14,990	$170	$2.5M
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	6,770	$230	$1.6M
A9278	Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	2,500	$360	$893.9K
A4224	Supplies for maintenance of insulin infusion catheter, per week	25,620	$30	$871.1K
A4385	Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each	12,440	$60	$721.8K

Showing 1–10 of 114

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

Byram Healthcare Centers, Inc. — 23 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

114 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	1	10	10,250	$260	$4.7M
E0784	External ambulatory infusion pump, insulin	1	10	2,030	$1,490	$3M
E0603	Breast pump, electric (ac and/or dc), any type	6	10	1,710	$170	$2.7M
A9274	External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories	1	10	4,160	$480	$2M
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	1	10	1,270	$420	$1.3M
A4353	Intermittent urinary catheter, with insertion supplies	5	10	1,300	$440	$686.1K
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	1	10	490	$140	$621.1K
A9278	Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	1	10	1,590	$360	$573.1K
A4224	Supplies for maintenance of insulin infusion catheter, per week	1	10	12,420	$40	$554.8K
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	10	3,190	$140	$440.7K

Showing 1–10 of 114

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.	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.	GA	Durable Medical Equipment & Medical Supplies	$0	$13.3M
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
Campbell Clinic, PC	TN	Orthopaedic Surgery Physician	$0	$28M
The West Clinic P.C.	TN	Specialist	$0	$16M
Poplar Avenue Clinic PLLC	TN	Gynecologic Oncology Physician	$0	$9.7M
Diagnostic Ultrasound Consultants	TN	Diagnostic Radiology Physician	$0	$8.5M
Mid-south Imaging & Therapeutics, P.A.	TN	Diagnostic Radiology Physician	$0	$8.2M
David Portnoy	TN	Hematology & Oncology Physician	$6.5M	$0
Stephen Huddleston	TN	Retina Specialist (Ophthalmology) Physician	$5.7M	$0
Stern Cardiovascular Foundation, Inc	TN	Cardiovascular Disease Physician	$0	$4.7M
G I Diagnostic And Therapeutic Center LLC	TN	Endoscopy Clinic/Center	$4.2M	$8.6K
Memphis Neurology PLLC	TN	Neurology Physician	$0	$3.9M

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