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

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

Prentke Romich Company (NPI 1184602518)

Field	Value
Entity Type	Organization
Organization	Prentke Romich Company
Address	1022 Heyl Rd
City	Wooster
State	OH
ZIP	44691
Taxonomy	Customized Equipment (DME)
NPI Enumerated	January 5, 2006

Payer Source	Total Paid
Medicaid	$186.7M
Medicare	$0

Key Findings

PRENTKE ROMICH COMPANY operates squarely in customized durable medical equipment for communication: its Medicaid billing is overwhelmingly for speech-generating devices and their accessories (codes E2510, E2599, E2512), indicating a business model focused on augmentative and alternative communication (AAC) hardware and mounting/accessory solutions rather than a broader DME mix. The presence of multiple accessory codes alongside the main device code suggests integrated sales of primary devices plus complementary parts and mounting systems.

Revenue is highly concentrated in a very narrow set of services: the provider reports $186.7M in lifetime Medicaid revenue and its top three Medicaid codes account for 100.0% of that total. In particular, E2510 alone represents $172.5M (92.4% of this provider's total Medicaid revenue), while E2599 accounts for $10.7M (5.7%) and E2512 contributes $3.4M (1.8%).

Claim volumes and average paid per claim reinforce the device-centric profile: E2510 appears with 39.5K claims at $4371 avg paid/claim, E2599 with 30.2K claims at $354 avg paid/claim, and E2512 with 6K claims at $565 avg paid/claim. These figures show the bulk of revenue derives from high-unit-value device claims (E2510) supplemented by large volumes of lower-cost accessories (E2599) and moderate-volume mounting solutions (E2512).

This provider is effectively single-payer in scale: there is no Medicare billing on file while Medicaid accounts for $186.7M in lifetime revenue, so analyses of payor mix and market exposure should treat Medicaid as the sole material payer in available claims data. Absence of Medicare activity means comparisons to national Medicare peers are not applicable for this entity.

Competitive standing within Ohio is strong for the AAC product lines but occurs in a narrow competitive set: PRENTKE ROMICH ranks #1 of 2 providers in-state and at the 100th percentile for E2510, E2599, and E2512, with the dataset labeling these volumes "typical, unremarkable volume for this code." That phrasing and the small number of in-state providers together imply top market share within a limited provider base rather than dominance in a large, crowded market.

Service mix shows only limited recorded activity in repair/labor services: K0739 appears with 1.1K claims, $45 avg paid/claim, and $49.5K revenue (reported as 0.0% of total Medicaid revenue) and ranks #22 of 31 providers in-state (30th percentile). This suggests the company handles relatively little billable technician labor or repair work relative to peers and derives almost all revenue from device and accessory sales rather than repair services.

The provider has an established presence in Medicare/Medicaid enrollment: the NPI was enumerated on 2006-01-05 (~20 years ago), indicating long tenure in the supplier space. That longevity, combined with concentrated Medicaid revenue tied to AAC devices, supports the interpretation of a specialized, steady supplier of speech-generating equipment to Medicaid beneficiaries in-state.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E2510	Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access	39,470	$4,370	$172.5M
E2599	Accessory for speech generating device, not otherwise classified	30,220	$350	$10.7M
E2512	Accessory for speech generating device, mounting system	5,970	$570	$3.4M
K0739	Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes	1,100	$50	$49.5K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Ohio Distribution

Prentke Romich Company — 3 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. Ohio median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E2510	Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access	1	10	22,310	$4,320	$96.4M
E2599	Accessory for speech generating device, not otherwise classified	1	10	16,440	$370	$6.2M
E2512	Accessory for speech generating device, mounting system	1	10	3,120	$560	$1.8M
K0739	Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes	22	30	2,600	$30	$88.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America Holdings	NC	Clinical Medical Laboratory	$214.6M	$1.4B
Laboratory Corporation Of America Holdings	NJ	Clinical Medical Laboratory	$143.3M	$717.5M
Natera, Inc.	CA	Clinical Medical Laboratory	$133.1M	$641.5M
Unilab Corporation	CA	Clinical Medical Laboratory	$94M	$668.5M
Bioreference Health, LLC	NJ	Clinical Medical Laboratory	$66.8M	$620.1M
Laboratory Corporation Of America Holdings	OH	Clinical Medical Laboratory	$56.9M	$617M
Millennium Health, LLC	CA	Clinical Medical Laboratory	$20.4M	$579.3M
Exact Sciences Laboratories, LLC	WI	Clinical Medical Laboratory	$299.3M	$276.5M
Aeroflow Inc.	NC	Durable Medical Equipment & Medical Supplies	$0	$571.9M
Zoll Services LLC	PA	Durable Medical Equipment & Medical Supplies	$0	$503.8M

Nearby Providers

Other providers in the same ZIP code as Prentke Romich Company, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Village Network	OH	Voluntary or Charitable Agency	$0	$62.3M
Christian Children's Home Of Ohio	OH	Adolescent and Children Mental Health Clinic/Center	$0	$18.6M
Lifecare Hospice	OH	Community Based Hospice Care Agency	$0	$16.3M
City Of Wooster	OH	General Acute Care Hospital	$0	$14M
Oneeighty, Inc.	OH	Community/Behavioral Health Agency	$0	$9.9M
Counseling Center Of Wayne & Holmes Counties	OH	Community/Behavioral Health Agency	$0	$8.6M
Wooster Clinic, LLC	OH	Multi-Specialty Clinic/Center	$0	$6.9M
City Of Wooster	OH	Land Ambulance	$269.5K	$852.9K
Wasc LLC	OH	Ambulatory Surgical Clinic/Center	$950.3K	$540
Wooster Ophthalmologists, Inc.	OH	Ambulatory Surgical Clinic/Center	$647.1K	$2.4K

Prentke Romich Company — Billing Profile & Reimbursement Data

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Prentke Romich Company — 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