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

Why is the Medicaid comparison limited to Michigan 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. Michigan (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.

Healthy Living Medical Supply, LLC (NPI 1033142948)

Field	Value
Entity Type	Organization
Organization	Healthy Living Medical Supply, LLC
Address	1401 Vermont St Ste 110
City	Detroit
State	MI
ZIP	48216
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	July 7, 2006

Payer Source	Total Paid
Medicaid	$85M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only supplier: there is no Medicare billing on file and lifetime Medicaid revenue is $85M. The absence of any Medicare entries combined with substantial Medicaid receipts indicates the organization operates primarily within state Medicaid channels rather than as a dual-payer DME vendor.

Revenue is highly concentrated in a few diabetes- and infusion-related codes: the precomputed top-3 Medicaid codes account for 48.7% of the provider's total Medicaid revenue, led by K0553 ($16M, 18.8%), A4230 ($12.7M, 15.0%), and E0784 ($12.7M, 14.9%). This concentration means nearly half of Medicaid dollars flow through a small set of therapeutic continuous glucose monitor and infusion pump codes.

Despite an Oxygen Equipment & Supplies (DME) taxonomy, the transactional footprint is dominated by diabetes monitoring and insulin delivery supplies — for example K0553 (84.7K claims, $189 avg paid/claim, $16M revenue), A4239 (65.7K claims, $192 avg paid/claim, $12.6M revenue), and A9276 (29.8K claims, $368 avg paid/claim, $10.9M revenue). The code mix (sensors, receivers, supply allowances, infusion sets and pumps such as E0784) points to an operational focus on continuous glucose monitoring and insulin pump consumables rather than oxygen-specific products.

The provider is a dominant statewide supplier for multiple high-revenue codes: K0553 ranks #1 of 21 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), A4230 ranks #1 of 10 providers in-state (100th percentile; notably above typical state volume), and A4239 ranks #1 of 28 providers in-state (100th percentile; extreme outlier). Those top-ranking positions indicate the organization holds a leading competitive standing in Michigan for therapeutic CGM supplies and insulin pump consumables.

Operational scale is substantial on a claims basis: A4230 shows 106.1K claims ($120 avg paid/claim, $12.7M revenue), A4232 shows 106.8K claims ($32 avg paid/claim, $3.4M revenue), and A4253 shows 111.8K claims ($50 avg paid/claim, $5.6M revenue). High claim volumes across several supply lines (strips, cartridges, infusion sets) suggest a large recurring-consumables business model with significant logistics and fulfillment activity.

A number of specific codes are flagged as statistical outliers or notably above typical levels, underscoring unusual concentration in certain product lines: K0553 and A4239 are labelled extreme outliers, A4230 and A4234-level codes are described as notably above typical state volume, and A4253 and A4259 are extreme outliers in claim count. Those labels, together with the rank/percentile data, signal that the provider’s Medicaid activity is not evenly distributed across peers but heavily weighted to a few high-volume diabetes-related items.

There is a mix of unit-based billing patterns that matters for utilization risk and revenue timing: K0553 and A4239 are monthly supply-allowance codes (1 month supply = 1 unit), while A9276 is billed as a one-day supply (one unit = 1 day), and E0784 is a high-dollar durable infusion pump (8.7K claims, $1448 avg paid/claim, $12.7M revenue). This combination of recurring monthly units, high-frequency daily sensors, and relatively lower-frequency high-dollar devices implies revenue sensitivity to both unit counts and device replacement cycles.

The provider has long-standing enrollment with an NPI enumeration date of 2006-07-07 (~20 years ago), which suggests operational longevity in the Medicaid market and a sustained presence that aligns with its large Medicaid volumes. Long tenure plus the observed code concentration makes it important for payers to monitor contract terms, reimbursement changes, or policy shifts that could disproportionately affect this supplier’s Medicaid revenue base.

Medicaid: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	84,670	$190	$16M
A4230	Infusion set for external insulin pump, non needle cannula type	106,110	$120	$12.7M
E0784	External ambulatory infusion pump, insulin	8,740	$1,450	$12.7M
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	65,690	$190	$12.6M
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	29,750	$370	$10.9M
A9274	External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories	15,300	$430	$6.5M
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	111,790	$50	$5.6M
A4232	Syringe with needle for external insulin pump, sterile, 3 cc	106,770	$30	$3.4M
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	3,890	$370	$1.4M
K0554	Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system	4,010	$190	$749.5K

Showing 1–10 of 29

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Michigan Distribution

Healthy Living Medical Supply, LLC — 14 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. Michigan median

29 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	3	10	23,610	$290	$6.6M
E0784	External ambulatory infusion pump, insulin	1	10	2,940	$1,630	$5.5M
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	4	10	5,810	$430	$3.1M
A4230	Infusion set for external insulin pump, non needle cannula type	1	10	500	$120	$2.7M
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	1	20	320	$140	$1.7M
A9274	External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories	1	10	440	$420	$1.5M
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	1	30	440	$160	$1M
A4232	Syringe with needle for external insulin pump, sterile, 3 cc	1	10	540	$30	$727.3K
A9278	Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	4	10	1,100	$290	$337.4K
K0554	Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system	1	10	2,150	$130	$274K

Showing 1–10 of 29

Related Providers

Other providers that share a Tax Identification Number (TIN) with Healthy Living Medical Supply, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Diabetes Supply Center Of The Midlands LLC	NE	Durable Medical Equipment & Medical Supplies	$0	$40.7M

Nearby Providers

Other providers in the same ZIP code as Healthy Living Medical Supply, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Solara Medical Supplies, LLC	MI	Durable Medical Equipment & Medical Supplies	$0	$32.2M
Vernor Urgent Care PLLC	MI	Family Medicine Physician	$0	$6.3M
Ali Dia	MI	Family Nurse Practitioner	$29K	$0

Healthy Living Medical Supply, LLC — Billing Profile & Reimbursement Data

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Healthy Living Medical Supply, LLC — Billing Profile & Reimbursement Data

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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