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.

National Medical Supply, Inc (NPI 1144358839)

Field	Value
Entity Type	Organization
Organization	National Medical Supply, Inc
Address	2885 W County Line Rd
City	Highlands Ranch
State	CO
ZIP	80129
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	March 2, 2007

Payer Source	Total Paid
Medicaid	$44.7M
Medicare	$0

Key Findings

NATIONAL MEDICAL SUPPLY, INC is effectively a Medicaid-focused durable medical equipment and supplies provider: it has no Medicare billing on file while reporting $44.7M in lifetime Medicaid revenue, indicating this entity operates as a single-payer (Medicaid) supplier rather than a dual Medicare/Medicaid vendor. The absence of Medicare activity suggests its business model or contracting is concentrated on state Medicaid programs rather than federal Medicare markets.

Revenue is moderately concentrated among a few high-revenue Medicaid codes: the precomputed top three Medicaid codes account for 31.5% of the provider’s total Medicaid revenue. This concentration implies that a relatively small set of product categories—primarily skin protectants and miscellaneous DME—drive nearly a third of Medicaid receipts, shaping inventory, supply chain, and revenue risk if reimbursement or demand shifts for those items.

The provider’s top Medicaid codes reflect a daily-living and enteral nutrition service line focus. Large volumes and revenues for A6250 (skin sealants/protectants), A4554 (disposable underpads), and multiple enteral formula codes (B4154, B4150, B4155, B4160, B4102, B4152) indicate the operation supplies wound/skin care products, incontinence garments (T4526/T4527/T4528/T4535/T4534/T4523/T4522/T4544), and enteral nutrition—consistent with a DME supplier serving long-term care, home health, and pediatric/adult feeding needs.

NATIONAL MEDICAL SUPPLY, INC is a major statewide supplier for many Medicaid codes, frequently ranking in the top percentiles versus in-state peers. Examples include E0190 (rank #1 of 5, 100th percentile), B4102 (rank #1 of 6, 100th percentile), and several #2 rankings (A6250, A4554, A4927, T4526/T4528, A6530) at or above the 94th–98th percentiles. These placements indicate dominant market share or unusually high volume for specific lines within Colorado’s Medicaid program.

Several specific codes are labeled statistical outliers in-state, signaling exceptional volume relative to peers. E1399 (Durable medical equipment, miscellaneous) is flagged as an “extreme outlier, far above typical state volume,” and A4253 (blood glucose strips) and A4245 (alcohol wipes) are also noted as “extreme outlier, far above typical state volume,” suggesting specialized stocking or large institutional customers driving atypically high claim counts for those items. Such outlier designations point to concentrated specialization or large contracts for particular consumables and miscellaneous DME.

The provider shows particularly high utilization of incontinence and continence-related supplies across sizes and product forms. High claim counts and multi-million-dollar revenues for T4526, T4527, T4528, T4535 and related T45xx/T4534 codes, many ranked in the 93rd–98th percentiles, imply substantial business serving adult and pediatric incontinence needs—consistent with supply relationships to nursing homes, home health agencies, or large patient bases requiring ongoing consumables.

Enteral nutrition is a distinct revenue pillar: B4154, B4150, B4155, B4160 and B4102 together account for multiple millions of dollars in Medicaid revenue and strong in-state ranks (several in the 90th+ percentiles, including a #1 rank for B4102). This pattern shows the provider is a significant statewide supplier of enteral formulas across adult and pediatric product lines and caloric compositions, which carries operational implications for cold-chain, formularies, and clinical refill processes.

The provider has long tenure in the NPI registry, enumerated since 2007-03-02 (~19 years ago), which supports an established operational history in the Medicaid market. Longevity combined with repeated high-state ranks suggests entrenched payer relationships and operational experience serving Medicaid beneficiaries and institutional customers over many years.

Medicaid: Complete Services Breakdown

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

85 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A6250	Skin sealants, protectants, moisturizers, ointments, any type, any size	56,820	$90	$5M
E1399	Durable medical equipment, miscellaneous	4,100	$1,190	$4.9M
A4554	Disposable underpads, all sizes	54,420	$60	$3.4M
B4154	Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or…	11,100	$240	$2.7M
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	17,400	$150	$2.7M
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	15,320	$170	$2.6M
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	25,380	$100	$2.5M
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	33,700	$70	$2.5M
B4155	Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium…	3,910	$610	$2.4M
A4927	Gloves, non-sterile, per 100	70,750	$30	$2.3M

Showing 1–10 of 85

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

National Medical Supply, Inc — 12 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

85 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	13	10	1,430	$720	$3.4M
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	9	20	2,100	$310	$2.6M
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	99	140	7,200	$60	$1.1M
B4155	Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium…	4	20	840	$310	$871K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	4	40	2,280	$150	$795.4K
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	4	20	2,210	$170	$748.4K
B4154	Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or…	2	20	1,350	$240	$716.5K
A4595	Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes)	2	10	1,310	$20	$711K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	2	40	1,900	$120	$627.8K
A4554	Disposable underpads, all sizes	2	60	6,090	$50	$584.2K

Showing 1–10 of 85

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sarolta Szabo	CO	Procedural Dermatology Physician	$288.4K	$0
Rebecca Nickell	CO	Family Medicine Physician	$270.8K	$0
Ryan Koonce	CO	Adult Reconstructive Orthopaedic Surgery Physician	$260.7K	$0
James Singleton	CO	Rheumatology Physician	$241.6K	$0
Bradley Draper	CO	Procedural Dermatology Physician	$205.9K	$0
Austin Derosa	CO	Urology Physician	$162.7K	$0
Ellen Burkett	CO	Internal Medicine Physician	$136.4K	$0
Marklyn Jones	CO	Urology Physician	$126K	$0
George Melone	CO	Geriatric Medicine (Internal Medicine) Physician	$110.6K	$0
Michael Leiding	CO	Geriatric Medicine (Internal Medicine) Physician	$109.2K	$0

National Medical Supply, 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

Nearby Providers

Frequently Asked Questions

References