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

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

Wisdom Medical Inc (NPI 1043390370)

Field	Value
Entity Type	Organization
Organization	Wisdom Medical Inc
Address	2620 S Parker Rd
City	Aurora
State	CO
ZIP	80014
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	October 17, 2006

Payer Source	Total Paid
Medicaid	$4.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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	970	$1,020	$989.5K
A6212	Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing	1,380	$390	$535.7K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	2,000	$240	$470.7K
A4554	Disposable underpads, all sizes	6,710	$60	$429.1K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	1,910	$200	$376.5K
A6250	Skin sealants, protectants, moisturizers, ointments, any type, any size	5,550	$50	$299.9K
A4927	Gloves, non-sterile, per 100	9,700	$20	$213.4K
A6248	Hydrogel dressing, wound filler, gel, per fluid ounce	470	$410	$194.4K
T4544	Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each	480	$360	$170.9K
A6213	Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing	230	$490	$109.3K

Showing 1–10 of 32

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

Wisdom Medical Inc — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	23	40	2,280	$150	$795.4K
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	3	10	1,720	$420	$705.6K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	20	40	1,900	$120	$627.8K
A4554	Disposable underpads, all sizes	25	60	6,090	$50	$584.2K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	21	30	1,850	$120	$415.4K
A6250	Skin sealants, protectants, moisturizers, ointments, any type, any size	24	40	6,690	$30	$355.6K
A4927	Gloves, non-sterile, per 100	24	60	5,950	$20	$293.7K
A6212	Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing	4	10	920	$170	$244.5K
T4544	Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each	8	20	450	$190	$223.4K
A4409	Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each	3	10	110	$110	$192.4K

Showing 1–10 of 32

Nearby Providers

Other providers in the same ZIP code as Wisdom Medical Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Teamselect Home Care Of Colorado, LLC	CO	Home Health Agency	$0	$194.9M
Clinton Home Care, Inc.	CO	In Home Supportive Care Agency	$0	$60.3M
Smith Agency	CO	Foster Care Agency	$0	$51.9M
Colorado Spirit Home Care	CO	In Home Supportive Care Agency	$0	$46.9M
Alternative Choice Home Care Nursing, LLC	CO	Home Health Agency	$0	$42.7M
Care On Call Colorado, LLC	CO	In Home Supportive Care Agency	$0	$33.8M
Atlas Home Health, Inc.	CO	Home Health Agency	$0	$31.3M
Mercy Home Services	CO	In Home Supportive Care Agency	$0	$27.9M
Community Support Services, Inc.	CO	Developmentally Disabled Services Day Training Agency	$0	$27M
Support Management	CO	Developmentally Disabled Services Day Training Agency	$0	$26.2M

Wisdom Medical Inc — Billing Profile & Reimbursement Data

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Wisdom Medical Inc — 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