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

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

Lincare Inc. (NPI 1114089216)

Field	Value
Entity Type	Organization
Organization	Lincare Inc.
Address	3330 Colton Dr
City	Helena
State	MT
ZIP	59602
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	December 14, 2006

Payer Source	Total Paid
Medicaid	$836.8K
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 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	9,060	$50	$462K
A7030	Full face mask used with positive airway pressure device, each	1,070	$70	$73.6K
A7031	Face mask interface, replacement for full face mask, each	2,010	$30	$66.2K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	5,910	$10	$59K
A4604	Tubing with integrated heating element for use with positive airway pressure device	1,660	$30	$48.2K
E0601	Continuous positive airway pressure (CPAP) device	1,220	$40	$47.4K
E0562	Humidifier, heated, used with positive airway pressure device	1,570	$10	$22K
A7038	Filter, disposable, used with positive airway pressure device	3,450	$10	$17.2K
A7035	Headgear used with positive airway pressure device	880	$20	$13.3K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	140	$60	$8.4K

Showing 1–10 of 16

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Montana Distribution

Lincare Inc. — 0 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. Montana median

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	11	40	4,940	$60	$352.8K
E0601	Continuous positive airway pressure (CPAP) device	23	40	1,400	$40	$74.2K
A7030	Full face mask used with positive airway pressure device, each	9	30	550	$80	$64.4K
A4604	Tubing with integrated heating element for use with positive airway pressure device	12	30	1,660	$30	$61.5K
A7031	Face mask interface, replacement for full face mask, each	10	30	1,420	$30	$45.1K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	10	40	3,070	$10	$44K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	17	30	260	$50	$36.2K
E0562	Humidifier, heated, used with positive airway pressure device	9	30	810	$20	$27.4K
A7032	Cushion for use on nasal mask interface, replacement only, each	19	30	390	$30	$25.3K
A7035	Headgear used with positive airway pressure device	14	40	640	$20	$16.4K

Showing 1–10 of 16

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spring Meadow Resources, Inc.	MT	Developmentally Disabled Services Day Training Agency	$0	$20.2M
Intermountain Deaconess Home For Children	MT	Psychologist	$0	$1.7M
Masonic Home Of Montana, Inc.	MT	Assisted Living Facility	$0	$1.5M
St Peter's Medical Group North	MT	Family Medicine Physician	$0	$1.5M
Roots Rehab	MT	Occupational Therapist	$0	$1.3M
Montana Kids Dental LLC	MT	Pediatric Dentistry	$0	$1.3M
First Words Speech And Language Clinic	MT	Speech-Language Pathologist	$0	$845.3K
Intermountain Sbs	MT	Community/Behavioral Health Agency	$0	$606.1K
Montana Telepsych Solutions Inc.	MT	Psychiatric/Mental Health Nurse Practitioner	$0	$440.6K
Eric Thomas	MT	Internal Medicine Physician	$379.7K	$0

Lincare Inc. — Billing Profile & Reimbursement Data

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Lincare 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