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.

De-light Medicals Inc (NPI 1164736146)

Field	Value
Entity Type	Organization
Organization	De-light Medicals Inc
Address	616 Broadway
City	Malden
State	MA
ZIP	02148
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	August 2, 2010

Payer Source	Total Paid
Medicaid	$10.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

64 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	4,130	$560	$2.3M
B4157	Enteral formula, nutritionally complete, for special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber,…	1,150	$1,820	$2.1M
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,…	6,070	$310	$1.9M
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…	1,490	$580	$863.6K
B4162	Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an…	270	$1,540	$421K
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…	3,940	$100	$409.8K
B4154	Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or…	2,430	$150	$354.9K
B9998	Noc for enteral supplies	400	$650	$258.4K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	2,810	$70	$205.3K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	4,590	$40	$192.9K

Showing 1–10 of 64

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

De-light Medicals Inc — 1 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

64 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…	7	10	2,820	$540	$2.9M
B4157	Enteral formula, nutritionally complete, for special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber,…	1	10	1,150	$1,820	$2.1M
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,…	7	20	2,160	$160	$1M
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	14	10	2,800	$140	$915.5K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	14	20	3,430	$80	$650K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	15	20	2,730	$80	$633.1K
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	18	20	1,320	$110	$594.7K
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…	12	30	2,430	$110	$592.1K
T4530	Pediatric sized disposable incontinence product, brief/diaper, large size, each	13	10	1,390	$120	$547.2K
E1399	Durable medical equipment, miscellaneous	22	30	900	$140	$504.7K

Showing 1–10 of 64

Nearby Providers

Other providers in the same ZIP code as De-light Medicals Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mystic Valley Elder Services, Inc.	MA	Case Management Agency	$0	$222.7M
Ag Adult Foster Care LLC	MA	Adult Care Home Facility	$0	$32.3M
Mystic Valley Elder Services, Inc.	MA	Case Management Agency	$0	$24M
Greater Malden Behavioral Health, Inc	MA	Community/Behavioral Health Agency	$0	$22.2M
Adult Day Health, Inc.	MA	Adult Day Care Clinic/Center	$0	$8.8M
Eastern Middlesex Alcoholism Services, Inc	MA	Substance Abuse Rehabilitation Facility	$0	$6M
Albert Daly	MA	Primary Podiatric Medicine Podiatrist	$462.1K	$0
Jack Daly	MA	Primary Podiatric Medicine Podiatrist	$410.6K	$0
Emma Chu	MA	Optometrist	$242.6K	$90
Nicholas Kovacev	MA	Physical Therapist	$152.8K	$10.7K

De-light Medicals Inc — Billing Profile & Reimbursement Data

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De-light Medicals Inc — 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