Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidAmador Medical, LLC
    Ask Trek AI about this page

    Amador Medical, LLC — Billing Profile & Reimbursement Data

    NPI 1205128261 · Las Vegas, NV · Durable Medical Equipment & Medical Supplies

    Customize your policy alerts

    Sign up for Amador Medical, LLC — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Amador Medical, LLC is a durable medical equipment & medical supplies provider located in Las Vegas, Nevada. This profile covers 0 Medicare and 42 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAmador Medical, LLC
    Address4325 Dean Martin Dr.
    CityLas Vegas
    StateNV
    ZIP89103
    TaxonomyDurable Medical Equipment & Medical Supplies
    NPI EnumeratedMay 10, 2011

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$16.3M
    Medicare$0

    Key Findings

    AMADOR MEDICAL, LLC has no Medicare billing on file and is effectively a single‑payer Medicaid DME supplier, with Total Medicaid revenue of $16.3M reported. Its NPI was enumerated 2011-05-10 (~15 years ago), indicating an established presence in the Nevada market.

    Revenue is highly concentrated in a small set of codes: the top 3 Medicaid codes by revenue account for 45.7% of this provider's total Medicaid revenue. The largest single code is T4541 with $3M revenue (18.4% of Medicaid revenue), followed by T4526 and T4527 at $2.2M each (13.7% and 13.6% respectively), signaling that a handful of product lines drive nearly half of Medicaid receipts.

    The provider’s code mix is strongly oriented toward disposable adult incontinence products: high-volume codes include T4541, T4526, T4527, T4528, T4523 and T4524, together with high claim counts such as 102.7K claims for T4541 and 32.1K–32.8K claims for T4526 and T4527. This pattern is consistent with a DME operation focused on low-unit‑price, high‑turnover consumables rather than capital equipment as its core service line.

    AMADOR MEDICAL is a dominant statewide supplier for many of its top incontinence codes: numerous T45xx lines are ranked #1 in Nevada and listed at the 100th percentile, with the top codes described as extreme outliers or notably above typical state volume. Those rank positions (for example, T4541 ranks #1 of 31 providers; T4526 and T4527 each rank #1 of 27 providers) indicate market leadership and unusually large share of state Medicaid volume for these items.

    Although incontinence supplies account for the bulk of revenue, the provider also reports smaller but notable sales of power wheelchair accessories and other DME items (for example E2361 at $260.2K, E2366 at $201.7K, and A5120 at $147.1K). These ancillary product lines are generally characterized as typical or unremarkable volume by state peers, suggesting AMADOR supplements its core consumable business with lower‑revenue device support and repairs.

    Claim‑level patterns point to a low‑price, high‑volume operating model: T4541 shows 102.7K claims with a $29 avg paid/claim, while T4526 and T4527 show 32.1K and 32.8K claims with $69 and $67 avg paid/claim respectively. Similarly, A5120 has 16.3K claims at $9 avg paid/claim, reinforcing that Medicaid revenues accrue from frequent small‑ticket items rather than a few high‑cost devices.

    The concentration of nearly half of Medicaid revenue in the top three codes (45.7%) creates revenue sensitivity to changes in Medicaid coverage, reimbursement rates, or procurement practices for incontinence supplies. Given the provider’s state dominance on those codes, any policy or contract shift affecting T4541, T4526 or T4527 could materially impact AMADOR MEDICAL’s overall revenue profile.

    Combining long tenure (NPI enumerated 2011-05-10, ~15 years) with repeated #1 rankings across many incontinence codes suggests an entrenched market position in Nevada Medicaid for disposable continence supplies. For payer/provider analysts, this profile signals a specialized, high-volume DME supplier whose strategic importance in the state rests on continued demand and reimbursement stability for a narrow set of product codes.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    42 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T4541Incontinence product, disposable underpad, large, each102,680$30$3M
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each32,150$70$2.2M
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each32,850$70$2.2M
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each22,280$80$1.8M
    T4523Adult sized disposable incontinence product, brief/diaper, large, each17,580$70$1.2M
    T4524Adult sized disposable incontinence product, brief/diaper, extra large, each13,680$80$1.1M
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each45,960$20$1M
    T4522Adult sized disposable incontinence product, brief/diaper, medium, each18,080$50$940.4K
    T4525Adult sized disposable incontinence product, protective underwear/pull-on, small size, each11,770$70$800.6K
    T4544Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each3,550$150$524.8K

    Showing 1–10 of 42

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Nevada median

    42 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T4541Incontinence product, disposable underpad, large, each1301,460$30$266K
    T4524Adult sized disposable incontinence product, brief/diaper, extra large, each110930$100$250.2K
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each130920$70$238.7K
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each130990$70$238.1K
    T4523Adult sized disposable incontinence product, brief/diaper, large, each120370$80$199.7K
    T4544Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each1101,240$150$197.7K
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each130340$90$175.7K
    T4525Adult sized disposable incontinence product, protective underwear/pull-on, small size, each110320$70$149.4K
    T4522Adult sized disposable incontinence product, brief/diaper, medium, each120670$60$133.1K
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each120890$20$117.4K

    Showing 1–10 of 42

    Nearby Providers

    Other providers in the same ZIP code as Amador Medical, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nursecore Management Services, LLCNVHome Health Agency$0$47.9M
    Dna Analytical Laboratory Lv LLCNVClinical Medical Laboratory$24.9M$8.9K
    Marizel YukeeNVPrimary Care Nurse Practitioner$19.7M$0
    Spring Valley Surgery Center, LLCNVAmbulatory Surgical Clinic/Center$740.9K$7.6M
    Medical Investment IncNVDurable Medical Equipment & Medical Supplies$0$8M
    Heart & Heart LLCNVIn Home Supportive Care Agency$0$7.4M
    Las Vegas Pain Institute And Medical Center, LLCNVPain Medicine (Anesthesiology) Physician$0$7.1M
    Leslie DentonNVEmergency Medicine Physician$7M$0
    Alliance Mental Health Specialists Suba Park Cheng PLLCNVPsychiatry Physician$0$5.1M
    Las Vegas Personal CareNVPersonal Care Attendant$0$4.9M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Nevada Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nevada Distribution
    Amador Medical, LLC — 20 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada