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

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

Med South Medical Inc (NPI 1194837229)

Field	Value
Entity Type	Organization
Organization	Med South Medical Inc
Address	6415 Witt Ln Ste B
City	North Little Rock
State	AR
ZIP	72118
Taxonomy	Parenteral & Enteral Nutrition Supplies (DME)
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicaid	$21M
Medicare	$0

Key Findings

MED SOUTH MEDICAL INC is effectively a Medicaid-focused supplier: there is no Medicare revenue on file while Medicaid revenue totals $21M, indicating the provider operates almost exclusively within the state Medicaid market rather than the Medicare market. This single-payer concentration implies its business operations and contracts are primarily structured around Medicaid reimbursement rules and pediatric/enteral DME provision.

Revenue is highly concentrated in a small set of Medicaid codes: the precomputed top three Medicaid codes account for 65.1% of total Medicaid revenue, signaling dependence on a narrow set of product lines for the majority of income. That concentration suggests exposure to pricing or policy changes affecting those specific items.

The largest single revenue driver is A5120 (Skin barrier, wipes or swabs, each), which generated $6M and represents 28.8% of the provider’s Medicaid revenue; the provider ranks #1 of 11 in-state and is described as an extreme outlier. This positioning indicates MED SOUTH MEDICAL INC is the dominant in-state supplier for A5120 and carries outsized volume on that SKU relative to peers.

Pediatric incontinence and enteral nutrition codes together constitute the other major revenue streams: T4532 ($4.1M, 19.5%) and B4160 ($3.5M, 16.8%) are the second and third largest contributors and together with A5120 make up the 65.1% top-three share. Both T4532 and B4160 rank in the 90s percentiles in-state (#2 of 17 and #2 of 16 respectively), indicating the provider has materially above-typical activity in pediatric disposable incontinence products and pediatric enteral formula.

Beyond the top three, the provider shows a product mix that emphasizes pediatric enteral formulas and a range of disposable incontinence products across sizes (T4531, T4530, T4526, T4527, T4528, etc.), plus ancillary supplies like A4927 (gloves) and A4554 (underpads). This code mix (enteral nutrition formulas B4160/B4150/B4152 and pediatric incontinence codes) is consistent with a specialized DME supplier focused on pediatric enteral feeding and continence care rather than broad DME categories.

Competitive standing is mixed but tilts toward leadership in several codes: MED SOUTH ranks #1 in-state for A5120 and T4531 and holds top-three positions for several enteral formula codes (B4160 #2, B4150 #3), which supports the view that it is a major state-level player in pediatric enteral nutrition and certain continence product segments. For many other codes it sits in mid-to-upper percentiles (70s–90s), reflecting consistently above-typical volume across its product set.

The provider has long tenure: its NPI was enumerated on 2006-08-31 (~20 years ago), indicating established operations and a sustained presence in the Medicaid supply market. This duration supports the pattern of concentrated, high-volume billing in a limited set of pediatric enteral and continence products rather than a recent or transient billing spike.

Because Medicaid drives all reported revenue, the provider faces concentrated payer and product risk: any state Medicaid coverage, reimbursement, or utilization policy changes affecting A5120, T4532, B4160 or other top codes could disproportionately impact its revenue base. Analysts and payers should monitor policy changes around pediatric enteral formulas and disposable incontinence products given the provider’s reliance on those categories.

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A5120	Skin barrier, wipes or swabs, each	77,440	$80	$6M
T4532	Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each	34,690	$120	$4.1M
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,…	28,710	$120	$3.5M
T4531	Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each	24,080	$110	$2.7M
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…	11,500	$110	$1.3M
B4100	Food thickener, administered orally, per ounce	8,500	$80	$637.6K
T4530	Pediatric sized disposable incontinence product, brief/diaper, large size, each	5,630	$100	$585.4K
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include…	3,350	$130	$425.8K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	4,530	$80	$357.6K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	3,380	$100	$348.3K

Showing 1–10 of 19

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arkansas Distribution

Med South Medical Inc — 3 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. Arkansas median

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T4532	Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each	2	20	1,360	$120	$1.2M
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,…	2	20	2,220	$140	$894.9K
A5120	Skin barrier, wipes or swabs, each	1	10	770	$70	$555.8K
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	20	830	$150	$527.5K
T4531	Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each	1	10	1,110	$110	$453.5K
B4100	Food thickener, administered orally, per ounce	2	10	760	$90	$381.1K
T4530	Pediatric sized disposable incontinence product, brief/diaper, large size, each	1	10	3,760	$110	$380.8K
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…	11	10	600	$360	$355.4K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	15	60	1,870	$90	$291.7K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	15	60	1,500	$90	$254.7K

Showing 1–10 of 19

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advanced Pathology Solutions, PLLC	AR	Clinical Medical Laboratory	$14.1M	$4.6M
Orthotics At Home, Inc	AR	Customized Equipment (DME)	$0	$10.9M
Infinite Genomics LLC	AR	Clinical Medical Laboratory	$1.9M	$2M
Scalia Otr/l, Inc.	AR	Occupational Therapist	$0	$3.8M
Alptp, PLLC	AR	Pediatric Occupational Therapist	$0	$2.7M
William Bowen	AR	Orthopaedic Surgery Physician	$530.8K	$0
Paul Edwards	AR	Adult Reconstructive Orthopaedic Surgery Physician	$369.2K	$0
William Hefley	AR	Orthopaedic Surgery Physician	$357.8K	$0
Brad Thomas	AR	Neurological Surgery Physician	$352.9K	$0
Samuel Moore	AR	Orthopaedic Surgery Physician	$331.5K	$1.6K

Med South Medical Inc — 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

Nearby Providers

Frequently Asked Questions

References