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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Palmetto Oxygen, LLC (NPI 1033480488)

Field	Value
Entity Type	Organization
Organization	Palmetto Oxygen, LLC
Address	1231 Ne Maynard Rd
City	Cary
State	NC
ZIP	27513
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	January 17, 2012

Payer Source	Total Paid
Medicaid	$27.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

162 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	118,480	$60	$6.6M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	5,030	$640	$3.2M
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	6,110	$450	$2.7M
K0738	Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing	59,460	$20	$1M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	8,800	$90	$774.5K
A7030	Full face mask used with positive airway pressure device, each	16,570	$50	$762.1K
E0601	Continuous positive airway pressure (CPAP) device	18,760	$30	$562.7K
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include…	5,820	$90	$500.4K
A4554	Disposable underpads, all sizes	12,810	$40	$499.7K
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	4,270	$90	$392.7K

Showing 1–10 of 162

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Carolina Distribution

Palmetto Oxygen, LLC — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. North Carolina median

162 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	3	20	1,290	$750	$2M
E2402	Negative pressure wound therapy electrical pump, stationary or portable	5	10	410	$480	$1.7M
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	24	40	410	$110	$1.6M
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	17	30	3,090	$330	$1.5M
T4533	Youth sized disposable incontinence product, brief/diaper, each	9	10	2,130	$90	$1.2M
E1399	Durable medical equipment, miscellaneous	15	20	470	$480	$1.2M
S5165	Home modifications; per service	10	10	130	$4,330	$999.5K
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	13	20	1,770	$320	$954.7K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	10	50	3,660	$140	$902.9K
T4544	Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each	15	40	590	$160	$747.6K

Showing 1–10 of 162

Nearby Providers

Other providers in the same ZIP code as Palmetto Oxygen, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Phoenix Assisted Care LLC	NC	Assisted Living Facility	$0	$9.6M
First Choice Medical Transport, LLC	NC	Ambulance	$1.1M	$213K
Stephen Loehr	NC	Vascular & Interventional Radiology Physician	$760.5K	$0
William Pechter	NC	Vascular & Interventional Radiology Physician	$657.2K	$0
Virag Shah	NC	Family Medicine Physician	$346.7K	$0
Carson Bee	NC	Ophthalmology Physician	$254K	$0
Katelyn Kim	NC	Dermatology Physician	$189.4K	$0
Sheel Desai Solomon	NC	Dermatology Physician	$175.8K	$0
Renzo Zaldivar	NC	Ophthalmic Plastic and Reconstructive Surgery Physician	$158.6K	$0
Duke University Health System, Inc.	NC	Diagnostic Radiology Physician	$97.9K	$300

Palmetto Oxygen, LLC — Billing Profile & Reimbursement Data

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Palmetto Oxygen, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References