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

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

Diabetes Management And Supplies (NPI 1164537452)

Field	Value
Entity Type	Organization
Organization	Diabetes Management And Supplies
Address	2 Commerce Ct
City	New Orleans
State	LA
ZIP	70123
Taxonomy	Pharmacy
NPI Enumerated	August 20, 2006

Payer Source	Total Paid
Medicaid	$55M
Medicare	$0

Key Findings

DIABETES MANAGEMENT AND SUPPLIES is registered as a Pharmacy in NEW ORLEANS, LA and has an NPI enumerated (registered): 2006-08-20 (~20 years ago). The taxonomy and long tenure combined with the claim mix indicate an established DME/supply-focused operation rather than a general medical or clinical practice.

This provider reports no Medicare billing on file (Total Medicare revenue: none (no Medicare billing on file)) and $55M in lifetime Medicaid revenue, making its commercial/payer exposure effectively single-payer Medicaid-driven at present. Analysts should treat Medicaid as the primary and material source of clinical volume and revenue risk for this entity.

Revenue is highly concentrated: the top three Medicaid codes account for 70.8% of this provider's total Medicaid revenue. Those top drivers are A9276 (42.9K claims, $471 avg paid/claim, $20.2M revenue (36.7% of this provider's total Medicaid revenue)), A9274 (13.3K claims, $997 avg paid/claim, $13.3M revenue (24.2% of this provider's total Medicaid revenue)), and A4230 (17.7K claims, $306 avg paid/claim, $5.4M revenue (9.9% of this provider's total Medicaid revenue)).

The code mix and dollar concentrations point to a core business in continuous glucose monitoring (CGM) systems and insulin pump therapies: large Medicaid revenue lines include A9276 (invasive CGM sensors), A9277 (transmitters; $4.8M revenue), A9278 (receivers; $2.2M revenue), E0784 (external ambulatory infusion pump, insulin; $5.2M revenue), and A4230 (infusion sets; $5.4M revenue). This pattern is consistent with a supplier that fills recurring consumable supplies and modular CGM/pump hardware rather than episodic clinical procedures.

Competitive standing within Louisiana is top-tier for the main product lines. The provider ranks #1 in-state and at the 100th percentile for A9276 (ranks #1 of 7 providers in-state (100th percentile; notably above typical state volume for this code)), A9274 (ranks #1 of 3 providers in-state (100th percentile; typical, unremarkable volume for this code)), and A4230 (ranks #1 of 3 providers in-state (100th percentile; typical, unremarkable volume for this code)), indicating statewide dominance for CGM sensors and strong leadership in pump supplies.

There are clear statistical outliers and unique-state coverage signals in the Medicaid dataset: A9276 is described as "notably above typical state volume for this code," and A4239 is also flagged as "notably above typical state volume for this code" (A4239: 10.1K claims, $73 avg paid/claim, $738K revenue (1.3% of this provider's total Medicaid revenue)). Conversely, a number of codes show the provider as the sole state reporter with "0th percentile; no state peer volume comparison available" (for example A4224, A4231, E0787, A4232, A4238), suggesting exclusivity or limited peer activity for those specific supply items.

Operationally, the provider handles very high claim volumes for recurring supplies which supports a subscription-like fulfillment model: examples include A9276 at 42.9K claims, A4230 at 17.7K claims, A9274 at 13.3K claims, and A4225 at 24.6K claims (A4225 – Supplies for external insulin infusion pump, syringe type cartridge, sterile, each). This mix—large claim counts for relatively low-unit consumables plus high-revenue device items—implies revenue stability tied to ongoing patient supply needs rather than one-time equipment sales.

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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	42,900	$470	$20.2M
A9274	External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories	13,330	$1,000	$13.3M
A4230	Infusion set for external insulin pump, non needle cannula type	17,710	$310	$5.4M
E0784	External ambulatory infusion pump, insulin	10,470	$500	$5.2M
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	12,070	$400	$4.8M
A9278	Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	5,980	$370	$2.2M
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	10,110	$70	$738K
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	14,540	$50	$654.3K
A4225	Supplies for external insulin infusion pump, syringe type cartridge, sterile, each	24,580	$30	$639K
A4222	Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)	1,360	$440	$592.5K

Showing 1–10 of 25

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Louisiana Distribution

Diabetes Management And Supplies — 13 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. Louisiana median

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9274	External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories	1	10	390	$980	$4.5M
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	1	10	1,320	$450	$3.1M
A4230	Infusion set for external insulin pump, non needle cannula type	1	10	250	$310	$1.9M
E0784	External ambulatory infusion pump, insulin	1	10	120	$490	$1.7M
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	1	10	480	$400	$1.3M
A9278	Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	1	10	50	$370	$557.7K
A4222	Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)	9	10	3,770	$50	$437.3K
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	1	10	2,530	$50	$245.1K
A4231	Infusion set for external insulin pump, needle type	1	10	970	$240	$231.4K
A4224	Supplies for maintenance of insulin infusion catheter, per week	1	10	8,330	$30	$230.7K

Showing 1–10 of 25

Related Providers

Other providers that share a Tax Identification Number (TIN) with Diabetes Management And Supplies, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Diabetes Supply Center Of The Midlands LLC	NE	Durable Medical Equipment & Medical Supplies	$0	$40.7M

Nearby Providers

Other providers in the same ZIP code as Diabetes Management And Supplies, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Acadian Ambulance Service Of New Orleans, LLC	LA	Ambulance	$2.5M	$47.5M
Tri Valley Care, Inc	LA	Community/Behavioral Health Agency	$0	$14.9M
High Level Hearing Technology LLC	LA	Hearing and Speech Clinic/Center	$0	$13.9M
Infusion Partners LLC	LA	Home Infusion Therapy Pharmacy	$0	$13.7M
Bruce Professional Counseling Services, LLC	LA	Community/Behavioral Health Agency	$0	$13.4M
Kci Usa, Inc.	LA	Durable Medical Equipment & Medical Supplies	$0	$12.2M
Delta Medical Equipment & Supply, Inc	LA	Durable Medical Equipment & Medical Supplies	$0	$6.1M
River Oaks Inc	LA	Psychiatry Physician	$0	$5.8M
Daniel Harlin	LA	Diagnostic Radiology Physician	$64.7K	$0
Janice Albert	LA	Orthopedic Physical Therapist	$32.6K	$0

Diabetes Management And Supplies — Billing Profile & Reimbursement Data

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Diabetes Management And Supplies — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References