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

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

Express Rx Inc (NPI 1184777286)

Field	Value
Entity Type	Organization
Organization	Express Rx Inc
Address	2503 Beverly Blvd Fl 1
City	Los Angeles
State	CA
ZIP	90057
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	January 19, 2007

Payer Source	Total Paid
Medicaid	$27.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

117 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E0784	External ambulatory infusion pump, insulin	2,310	$5,660	$13M
A4230	Infusion set for external insulin pump, non needle cannula type	19,960	$310	$6.1M
A4232	Syringe with needle for external insulin pump, sterile, 3 cc	29,840	$70	$1.9M
Z5999	N/A	2,390	$690	$1.7M
A4231	Infusion set for external insulin pump, needle type	10,000	$170	$1.7M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	2,120	$460	$967.9K
T4532	Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each	8,670	$40	$312K
E1399	Durable medical equipment, miscellaneous	730	$250	$178.6K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	2,190	$60	$124.9K
B9998	Noc for enteral supplies	3,430	$40	$123.5K

Showing 1–10 of 117

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. California Distribution

Express Rx Inc — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

117 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E0784	External ambulatory infusion pump, insulin	7	10	3,300	$2,100	$17.6M
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	13	20	3,570	$380	$8.1M
A4230	Infusion set for external insulin pump, non needle cannula type	5	20	6,690	$160	$5.8M
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	16	40	1,180	$290	$2.3M
A4232	Syringe with needle for external insulin pump, sterile, 3 cc	5	10	7,330	$50	$2.1M
Z5999	N/A	11	20	3,330	$380	$2M
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	20	30	170	$90	$1.4M
A4231	Infusion set for external insulin pump, needle type	3	10	3,750	$120	$1.1M
T4541	Incontinence product, disposable underpad, large, each	44	290	2,820	$50	$1.1M
A6549	Gradient compression garment, not otherwise specified, for daytime use, each	15	30	290	$310	$1M

Showing 1–10 of 117

Nearby Providers

Other providers in the same ZIP code as Express Rx Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Altamed Health Services Corp	CA	Federally Qualified Health Center (FQHC)	$0	$39.5M
Abdul Khan	CA	General Practice Physician	$1.2M	$5.1K
Daisy Bautista	CA	Family Medicine Physician	$1M	$0
Addiction Research And Treatment, Inc.	CA	Substance Use Disorder Rehabilitation Clinic/Center	$580K	$12K
Michael Lepera	CA	Internal Medicine Physician	$584.9K	$1.5K
Edward Mcpherson	CA	Orthopaedic Surgery Physician	$344.9K	$0
Jeko Behfarin	CA	General Practice Physician	$251.9K	$5.5K
Samuel Lee	CA	Urology Physician	$216.1K	$0
Brian Abary	CA	Clinical Psychologist	$208.5K	$0
Daniel Oblitas	CA	Hospitalist Physician	$106.4K	$7.4K

Express Rx Inc — Billing Profile & Reimbursement Data

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Express Rx 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