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

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

Cape Medical Supply LLC (NPI 1134122047)

Field	Value
Entity Type	Organization
Organization	Cape Medical Supply LLC
Address	28 Jan Sebastian Dr
City	Sandwich
State	MA
ZIP	02563
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	May 24, 2005

Payer Source	Total Paid
Medicaid	$15.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

49 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A7030	Full face mask used with positive airway pressure device, each	30,770	$90	$2.6M
E0601	Continuous positive airway pressure (CPAP) device	61,120	$40	$2.2M
A4604	Tubing with integrated heating element for use with positive airway pressure device	50,230	$30	$1.7M
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	4,020	$370	$1.5M
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	25,930	$50	$1.3M
A7031	Face mask interface, replacement for full face mask, each	25,410	$30	$863.8K
A7035	Headgear used with positive airway pressure device	32,930	$20	$592.7K
A7032	Cushion for use on nasal mask interface, replacement only, each	15,920	$40	$589.2K
E0562	Humidifier, heated, used with positive airway pressure device	15,190	$30	$470.8K
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	2,450	$170	$408.8K

Showing 1–10 of 49

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Massachusetts Distribution

Cape Medical Supply LLC — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. Massachusetts median

49 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	4	10	4,020	$380	$5.5M
A9274	External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories	4	10	440	$700	$4.6M
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	3	10	2,820	$460	$2.2M
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	18	20	1,890	$330	$830.4K
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	2	10	120	$200	$683.4K
A4230	Infusion set for external insulin pump, non needle cannula type	3	10	1,980	$140	$581.2K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	24	40	2,460	$50	$518.1K
E1399	Durable medical equipment, miscellaneous	14	30	900	$140	$504.7K
A7030	Full face mask used with positive airway pressure device, each	3	30	990	$70	$477.3K
L3660	Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf	2	10	2,050	$70	$440.9K

Showing 1–10 of 49

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New England Home Medical Equipment, LLC	MA	Durable Medical Equipment & Medical Supplies	$0	$56.2M
Urgi Center Medical Group	MA	Urgent Care Clinic/Center	$0	$5.8M
Cape Cod Eye Surgery & Laser Center, LLC	MA	Ambulatory Surgical Clinic/Center	$3.5M	$238.2K
Cape Cod Pet/ct Services LLC	MA	Mobile Radiology Clinic/Center	$2.1M	$445.1K
Cape Cod Asc LLC	MA	Ambulatory Surgical Clinic/Center	$1.4M	$25.6K
Town Of Sandwich	MA	Ambulance	$623.9K	$636.6K
Michael Oats	MA	Ophthalmology Physician	$933.3K	$0
Ramon Espinosa	MA	Internal Medicine Physician	$368.2K	$0
Jessica Provo	MA	Family Medicine Physician	$333.8K	$0
Susan Shanley	MA	Physical Therapist	$143.8K	$0

Cape Medical Supply LLC — Billing Profile & Reimbursement Data

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Cape Medical Supply 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