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    OpenPayerNPI Medicare & MedicaidKenneth Glover
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    Kenneth Glover — Billing Profile & Reimbursement Data

    NPI 1144244450 · Dora, AL · Pharmacist

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    Kenneth Glover is a pharmacist provider located in Dora, Alabama. This profile covers 0 Medicare and 27 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationKenneth Glover
    Address27 Midway Plaza
    CityDora
    StateAL
    ZIP35062
    TaxonomyPharmacist
    NPI EnumeratedJuly 27, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$11.6M
    Medicare$0

    Key Findings

    KENNETH GLOVER is effectively a single-payer Medicaid supplier: there is no Medicare billing on file while lifetime Medicaid revenue totals $11.6M, so all recorded claims and revenue activity come through state Medicaid programs. The absence of Medicare activity indicates this NPI/Taxonomy combination functions primarily within the Medicaid DME/supply market rather than as a billed Medicare provider.

    Revenue is highly concentrated in a small set of Medicaid DME and diabetes-device codes: the precomputed top three Medicaid codes account for 59.6% of the provider's Medicaid revenue, signaling reliance on a handful of high-value product lines rather than a broad mix of services. Those dominant codes are A9274, A9276, and E1399, which together drive the majority of reported Medicaid receipts.

    The code mix indicates a specialized business model focused on insulin delivery and continuous glucose monitoring (CGM) systems and associated durable medical equipment. High-revenue codes include A9274 (external ambulatory insulin delivery system), A9276 (invasive CGM sensor daily supply), and multiple supporting pump/sensor supplies (E0784, A4230, A9277), suggesting the operation primarily dispenses insulin pumps, CGM devices, and related consumables. This pattern is consistent with a DME supplier concentrated in diabetes management technology.

    KENNETH GLOVER shows market-leading standing on several top lines within Alabama: A9274 ranks #1 of 5 providers in-state and is at the 100th percentile, and A4230 and E1140 also rank #1 in smaller peer groups. The profile labels these volumes as "notably above typical" or state-leading, which indicates this provider is a dominant supplier for specific insulin pump and infusion set products in-state even if overall product breadth is narrower.

    Several high-dollar items drive material per-claim revenue: E1399 (Durable medical equipment, miscellaneous) shows $1.3M revenue on 677 claims at $1899 avg paid/claim, and E0784 (external ambulatory infusion pump, insulin) delivered $1.1M with $402 avg paid/claim. These entries reflect substantial per-unit reimbursements typical of durable equipment lines and contribute heavily to the provider's $11.6M Medicaid lifetime revenue.

    Volume indicators show both very large claim counts for consumables and meaningful utilization of daily-supply CGM sensors: A9274 had 12.8K claims and A9276 had 4.6K claims, while supply staples like A4253 (14K claims for test strips) and A4256 (1.7K claims) point to sustained recurring dispensing of high-frequency supplies. This mix of high-claim consumables plus high-dollar durable items suggests revenue stems from both recurring supplies and episodic durable equipment placements.

    The provider has long tenure in the NPI registry — enumerated around 2006-07-27 (~20 years ago) — indicating an established presence in the market that aligns with the scale and specialty of its Medicaid DME activity. Long registration supports the interpretation of a stable DME/supply operation rather than a short-term or newly formed billing entity.

    Competitive standing is uneven across codes: while the provider is a clear state leader on A9274 and A4230 (100th percentile and #1 ranks), many other codes register at typical or mid-percentile levels (for example, A9276 at the 71st percentile, E1390 at the 24th percentile), indicating dominance in select diabetes device lines but only ordinary participation across the broader DME catalog. This suggests a focused competitive edge rather than uniformly high market share across all product types.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A9274External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories12,840$240$3.1M
    A9276Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply4,610$550$2.6M
    E1399Durable medical equipment, miscellaneous680$1,900$1.3M
    E0784External ambulatory infusion pump, insulin2,780$400$1.1M
    A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips14,040$70$982.9K
    A4230Infusion set for external insulin pump, non needle cannula type3,540$200$721.3K
    A9277Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system4,300$150$632.2K
    A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service780$480$369.1K
    A4232Syringe with needle for external insulin pump, sterile, 3 cc3,570$50$181.9K
    A4259Lancets, per box of 10011,840$10$154K

    Showing 1–10 of 27

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Alabama median

    27 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A4250Urine test or reagent strips or tablets (100 tablets or strips)21036,540$50$1.8M
    A9274External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories1103,590$300$1.3M
    A9276Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply3101,090$360$893.5K
    E1399Durable medical equipment, miscellaneous410400$680$607.2K
    E0784External ambulatory infusion pump, insulin1102,180$290$519.7K
    A9277Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system2103,290$140$411.9K
    A4230Infusion set for external insulin pump, non needle cannula type1101,060$210$297.9K
    A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service410500$360$290.2K
    E0607Home blood glucose monitor2101,600$50$222.8K
    A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips4140130$70$164.2K

    Showing 1–10 of 27

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Kenneth Glover, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kenneth Samuel Glover IiALCommunity/Retail Pharmacy$0$1.9M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Central Alabama Urgent Care IncALUrgent Care Clinic/Center$0$1.1M
    Scott DixonALEmergency Medicine Physician$86.6K$0
    Charles MinorALFamily Medicine Physician$61.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Alabama Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Alabama Distribution
    Kenneth Glover — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama