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    OpenPayerNPI Medicare & MedicaidMd Medical Supplies Inc
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    Md Medical Supplies Inc — Billing Profile & Reimbursement Data

    NPI 1164493003 · Kent, WA · Durable Medical Equipment & Medical Supplies

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    Md Medical Supplies Inc is a durable medical equipment & medical supplies provider located in Kent, Washington. This profile covers 0 Medicare and 24 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 TypeOrganization
    OrganizationMd Medical Supplies Inc
    Address7687 S 180th St
    CityKent
    StateWA
    ZIP98032
    TaxonomyDurable Medical Equipment & Medical Supplies
    NPI EnumeratedJanuary 30, 2006

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

    Payer SourceTotal Paid
    Medicaid$44.5M
    Medicare$0

    Key Findings

    MD MEDICAL SUPPLIES INC is effectively a single‑payer Medicaid supplier: there is no Medicare billing on file while reported Medicaid lifetime revenue is $44.5M, indicating the organization’s scale and market exposure are concentrated entirely in Medicaid. This payer concentration means any changes in state Medicaid policy or reimbursement could materially affect the business.

    Revenue is highly concentrated in a small set of Medicaid codes: the top three codes (A4927, T4541, T4527) together account for 42.6% of the provider’s Medicaid revenue. Those three codes individually show material revenue contributions ($7M for A4927, $6.4M for T4541, $5.6M for T4527), so a small number of product lines drive a large share of total take.

    The code mix reflects a high-volume DME/supplies operation focused on incontinence care and related consumables: leading codes include A4927 (gloves, non‑sterile), multiple T45xx family entries for disposable underpads, briefs, and pull‑on protective underwear, and A4335 (incontinence supply; miscellaneous). This assortment—dominated by disposable incontinence products and related supplies—suggests the company operates as a mass distributor/dispensing supplier for routine continence management rather than a niche medical device specialist.

    Competitive standing within Washington is dominant for several incontinence lines: T4541 ranks #1 of 59 providers in-state at the 100th percentile and is labeled an "extreme outlier," while A4927 ranks #2 of 81 providers at the 99th percentile (also an "extreme outlier") and T4527 ranks #2 of 53 at the 98th percentile ("notably above typical"). These rank and percentile positions indicate the provider is a market-leading supplier for multiple high‑volume Medicaid codes statewide.

    Beyond the top three, the provider shows breadth across sizes and product types for incontinence supplies—codes such as T4535 ($4M revenue, #1 of 55, 100th percentile), T4537 ($3.2M, #2 of 51, 98th percentile), and T4528 ($3.2M, #2 of 43, 98th percentile) also contribute materially. This spread across briefs, underpads, liners, reusable underpads, and size variants implies the company supplies a full product portfolio to meet varied patient needs and payer specifications.

    Operational scale is evident in claim volumes: A4927 has 240.5K claims, T4541 has 119.4K claims, and T4535 has 136.5K claims, reflecting very high transaction frequency consistent with volume dispensing and recurring supplies. Those claim counts, paired with the multi‑million dollar revenues on single codes, point to a transaction‑driven business model with substantial per‑unit throughput.

    The presence of S9999 (Sales tax) revenue of $298.7K, ranking #2 of 48 providers in-state at the 98th percentile ("notably above typical"), indicates the provider bills or collects sales tax at meaningful scale, which is consistent with significant retailable or taxable supply sales rather than purely professional or waived‑tax DME services. This may have implications for contract negotiations or audit focus around taxable items.

    The NPI was enumerated on 2006-01-30 (about ~20 years ago), reflecting long tenure in the market; this longevity, combined with top‑tier statewide ranks on multiple core codes, supports the view that the provider has established distribution relationships and a sustained operational footprint in Washington’s Medicaid DME supply market.

    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A4927Gloves, non-sterile, per 100240,540$30$7M
    T4541Incontinence product, disposable underpad, large, each119,380$50$6.4M
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each61,750$90$5.6M
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each136,500$30$4M
    T4537Incontinence product, protective underpad, reusable, bed size, each79,330$40$3.2M
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each35,430$90$3.2M
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each40,200$80$3.1M
    T4543Adult sized disposable incontinence product, protective brief/diaper, above extra large, each11,430$240$2.7M
    T4524Adult sized disposable incontinence product, brief/diaper, extra large, each25,600$90$2.4M
    A4335Incontinence supply; miscellaneous78,110$30$2.2M

    Showing 1–10 of 24

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Washington median

    24 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T4543Adult sized disposable incontinence product, protective brief/diaper, above extra large, each2101,750$230$786.1K
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each2501,230$90$667.8K
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each2401,140$90$504.3K
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each350920$70$497.1K
    T4524Adult sized disposable incontinence product, brief/diaper, extra large, each2202,520$100$491.8K
    T4544Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each2201,410$160$484.6K
    T4541Incontinence product, disposable underpad, large, each1601,310$40$433.9K
    T4537Incontinence product, protective underpad, reusable, bed size, each2502,140$40$416.6K
    A4927Gloves, non-sterile, per 1002802,930$20$408K
    A4335Incontinence supply; miscellaneous2206,970$30$393.5K

    Showing 1–10 of 24

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tri-med Ambulance LLCWAAmbulance$5.4M$26.2M
    Performance Modalities Inc.WADurable Medical Equipment & Medical Supplies$0$12.6M
    Valley Cities Counseling And ConsultationWACommunity/Behavioral Health Agency$0$12.6M
    Kci Usa, Inc.WADurable Medical Equipment & Medical Supplies$0$9.1M
    Northwest Kidney CentersWAEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$7.8M
    Total Renal Care IncWAEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.7M
    Lincare Inc.WADurable Medical Equipment & Medical Supplies$0$2.8M
    Yicheng ChenWAOphthalmology Physician$2M$290
    Wchs, Inc.WAMethadone Clinic$152.4K$772.6K
    Quality Medical Imaging Of Washington IncWAPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$386.2K$266.6K

    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. Washington Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Washington Distribution
    Md Medical Supplies Inc — 10 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington