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

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

Davila Pharmacy, Inc. (NPI 1205819885)

Field	Value
Entity Type	Organization
Organization	Davila Pharmacy, Inc.
Address	1423 Guadalupe St
City	San Antonio
State	TX
ZIP	78207
Taxonomy	Pharmacy
NPI Enumerated	November 28, 2005

Payer Source	Total Paid
Medicaid	$13.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

51 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A4554	Disposable underpads, all sizes	50,890	$30	$1.7M
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	11,110	$140	$1.5M
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	10,970	$110	$1.2M
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	9,730	$110	$1.1M
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	5,640	$160	$920K
B4153	Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	410	$1,960	$800.1K
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,…	2,270	$290	$654.6K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	15,980	$40	$575.3K
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…	1,560	$340	$528.7K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	1,620	$280	$450.9K

Showing 1–10 of 51

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Davila Pharmacy, Inc. — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

51 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…	38	40	2,180	$270	$7.2M
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,…	30	50	2,810	$150	$3.2M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	38	60	2,520	$210	$1.8M
B4153	Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	17	20	630	$1,010	$1.2M
B9998	Noc for enteral supplies	30	60	4,690	$90	$1.1M
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…	27	30	1,340	$250	$771.4K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	15	260	1,830	$100	$490.9K
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	17	40	1,070	$140	$451.8K
T4544	Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each	27	70	630	$150	$413.4K
T4532	Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each	22	90	550	$120	$403.4K

Showing 1–10 of 51

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Barrio Comprehensive Family Health Care Center, Inc.	TX	Federally Qualified Health Center (FQHC)	$0	$147.8M
Charles S. Ramon, LLC.	TX	Home Health Agency	$0	$70.6M
Christus Santa Rosa Health Care Corporation	TX	Children's Hospital	$0	$69.1M
Community Medicine Associates	TX	Family Medicine Physician	$0	$37.4M
Baylor College Of Medicine	TX	Pediatrics Physician	$0	$26.1M
City Of San Antonio Texas	TX	Land Ambulance	$4.4M	$12.7M
Renal Associates, P.A.	TX	Ambulatory Surgical Clinic/Center	$2.8M	$280.7K
Darrell Baskin	TX	Ophthalmology Physician	$2.2M	$0
Mark Collazo	TX	Family Nurse Practitioner	$742.5K	$0
Erika Gonzalez	TX	Allergy & Immunology Physician	$467.9K	$5.3K

Davila Pharmacy, Inc. — Billing Profile & Reimbursement Data

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Davila Pharmacy, 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