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

Why is the Medicaid comparison limited to Illinois 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. Illinois (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 1053366740)

Field	Value
Entity Type	Organization
Organization	Byram Healthcare Centers, Inc.
Address	3010 Woodcreek Dr
City	Downers Grove
State	IL
ZIP	60515
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	May 23, 2006

Payer Source	Total Paid
Medicaid	$142.4M
Medicare	$0

Key Findings

This provider is effectively single-payer in scale: there is no Medicare billing on file while Medicaid billing totals $142.4M, indicating that Medicaid is the dominant and only recorded federal payer source for this NPI. Analysts should treat Medicaid patterns as the primary lens for evaluating revenue, operations, and market position.

Revenue concentration is meaningful but not extreme: the precomputed top three Medicaid codes by revenue account for 27.6% of this provider's total Medicaid revenue, led by A6197 ($9.9M, 10.3%), K0553 ($9M, 9.4%), and A9276 ($7.6M, 7.9%). This concentration highlights a few high-impact product lines driving more than a quarter of Medicaid revenue while a broad long tail of other codes supplies the remainder.

The code mix points to two clear service lines: wound care and diabetes-related durable medical equipment and supplies. High-revenue wound-care codes such as A6197, A6021, A6212, A6210 and A6252 appear throughout the top codes, while diabetes management appears via K0553, A9276, A4230, A4239 and E0784, indicating combined capabilities in both consumable wound products and continuous glucose monitoring/insulin delivery supply chains.

Competitive standing within Illinois is strong and often dominant for specific DME categories: multiple high-revenue codes rank #1 in-state at the 100th percentile (examples include A6197 #1 of 8, K0553 #1 of 10, A4353 #1 of 10, A4385 #1 of 11, A4239 #1 of 8, A6212 #1 of 8, A6210 #1 of 5, A4362 #1 of 5, A4407 #1 of 7). These rank positions and 100th-percentile labels indicate the provider is a leading statewide supplier for many wound and ostomy supplies as well as diabetes-related consumables.

There are statistical outliers and codes with atypical peer comparisons that warrant attention: T4541 is labeled an "extreme outlier" with 162.1K claims and $4.1M revenue (4.2%), far above typical state volume, while several incontinence product codes (T4528, T4527, T4526, T4534, T4535) sit in the high percentiles (96–99th) suggesting unusually large distribution of disposable incontinence products. Conversely, a few diabetes-related items (A9276 and A9277) are reported as #1 of 1 providers with a 0th-percentile note, indicating no meaningful in-state peer-volume comparison is available for those items.

Operational footprint implied by claim counts and code types points to sizeable logistics and recurring-supply operations: high claim volumes such as T4541 (162.1K claims), K0553 (63.2K claims), A4230 (39.1K claims), A9276 (36.2K claims) and A6197 (42.1K claims) are consistent with ongoing monthly or frequent supply fulfillment, particularly for CGM supplies and incontinence/wound dressings. This pattern suggests scale in inventory management, recurring billing, and patient supply distribution rather than one-time device sales alone.

The provider’s revenue mix includes both high-unit-cost durable items and low-unit-cost high-volume consumables: examples of higher average paid per claim include E0784 at $1586 avg paid/claim contributing $7.1M (7.4%), and A4353 at $442 avg paid/claim contributing $3.5M (3.6%), while low-unit items such as T4541 pay $25 per claim but generate $4.1M via volume. This mix diversifies revenue drivers across expensive durable pumps and lower-cost, high-turnover supplies, affecting margins and cash-flow timing for the business.

Tenure supports the observed scale: the NPI was enumerated on 2006-05-23 (~20 years ago), indicating long-standing presence in the Illinois DME market and operational experience consistent with the provider’s leading in-state rankings and large recurring supply volumes.

Medicaid: Complete Services Breakdown

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

213 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	42,130	$240	$9.9M
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	63,180	$140	$9M
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	36,200	$210	$7.6M
E0784	External ambulatory infusion pump, insulin	4,450	$1,590	$7.1M
A6021	Collagen dressing, sterile, size 16 sq. in. or less, each	24,510	$200	$4.9M
A4230	Infusion set for external insulin pump, non needle cannula type	39,060	$110	$4.3M
T4541	Incontinence product, disposable underpad, large, each	162,140	$30	$4.1M
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	55,620	$70	$4M
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	65,340	$60	$3.9M
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	62,540	$60	$3.6M

Showing 1–10 of 213

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Illinois 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 — Illinois

Full comparison — all codes billed, vs. Illinois median

213 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A4230	Infusion set for external insulin pump, non needle cannula type	2	10	57,840	$140	$8.1M
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	36,200	$210	$7.6M
E0784	External ambulatory infusion pump, insulin	2	10	8,570	$820	$7M
A4335	Incontinence supply; miscellaneous	2	10	6,910	$20	$4.9M
A4554	Disposable underpads, all sizes	2	10	10,980	$30	$4.2M
T4537	Incontinence product, protective underpad, reusable, bed size, each	2	10	96,740	$20	$2.3M
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	1	10	5,740	$350	$2M
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…	5	20	1,330	$590	$1.8M
A4353	Intermittent urinary catheter, with insertion supplies	1	10	1,690	$650	$1.8M
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	1	10	1,250	$220	$1.6M

Showing 1–10 of 213

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
Laboratory Corporation Of America Holdings	NC	Clinical Medical Laboratory	$214.6M	$1.4B
Laboratory Corporation Of America Holdings	NJ	Clinical Medical Laboratory	$143.3M	$717.5M
Natera, Inc.	CA	Clinical Medical Laboratory	$133.1M	$641.5M
Unilab Corporation	CA	Clinical Medical Laboratory	$94M	$668.5M
Bioreference Health, LLC	NJ	Clinical Medical Laboratory	$66.8M	$620.1M
Laboratory Corporation Of America Holdings	OH	Clinical Medical Laboratory	$56.9M	$617M
Millennium Health, LLC	CA	Clinical Medical Laboratory	$20.4M	$579.3M
Exact Sciences Laboratories, LLC	WI	Clinical Medical Laboratory	$299.3M	$276.5M
Aeroflow Inc.	NC	Durable Medical Equipment & Medical Supplies	$0	$571.9M
Zoll Services LLC	PA	Durable Medical Equipment & Medical Supplies	$0	$503.8M

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
Hallman Care LLC	IL	Clinical Medical Laboratory	$16.8M	$3.4K
Village Of Downers Grove	IL	Land Ambulance	$518.8K	$9.5M
Lifeline Biosciences LLC	IL	Clinical Medical Laboratory	$1.7M	$7.3M
Dupage County Diagnostics LLC	IL	Clinical Medical Laboratory	$0	$6.8M
Advocate Home Care Products Inc	IL	Home Infusion Therapy Pharmacy	$0	$5.4M
Augustus Labs LLC	IL	Clinical Medical Laboratory	$475.4K	$3.7M
Cynthia Wollenschlager	IL	Infectious Disease Physician	$47.7K	$1.5M
Midwest Center For Day Surgery, LLC	IL	Ambulatory Surgical Clinic/Center	$1.4M	$70
Prashanth Tamragouri	IL	Psychiatry Physician	$420.2K	$602.8K
Apex Quality Health	IL	Clinical Medical Laboratory	$932.2K	$12.6K

Byram Healthcare Centers, Inc. — 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