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

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

Blackburns Physicians Pharmacy Inc (NPI 1205837879)

Field	Value
Entity Type	Organization
Organization	Blackburns Physicians Pharmacy Inc
Address	301 Corbet St
City	Tarentum
State	PA
ZIP	15084
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	August 9, 2005

Payer Source	Total Paid
Medicaid	$36.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

222 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E1399	Durable medical equipment, miscellaneous	6,280	$500	$3.2M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	4,170	$590	$2.5M
A4927	Gloves, non-sterile, per 100	115,900	$20	$2.3M
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	14,470	$130	$1.8M
T4537	Incontinence product, protective underpad, reusable, bed size, each	45,180	$40	$1.8M
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	11,090	$140	$1.6M
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	11,630	$120	$1.4M
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	12,520	$110	$1.4M
K0108	Wheelchair component or accessory, not otherwise specified	8,040	$150	$1.2M
T4543	Adult sized disposable incontinence product, protective brief/diaper, above extra large, each	3,920	$290	$1.1M

Showing 1–10 of 222

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

Blackburns Physicians Pharmacy Inc — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

222 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E0194	Air fluidized bed	2	10	9,370	$930	$8.7M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	3	10	700	$1,390	$4.6M
S9342	Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits…	13	10	5,860	$270	$2.5M
E1399	Durable medical equipment, miscellaneous	5	40	350	$540	$1.4M
A4353	Intermittent urinary catheter, with insertion supplies	9	10	2,140	$430	$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,…	10	30	490	$190	$874.5K
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	8	30	1,460	$130	$845.1K
B9998	Noc for enteral supplies	12	20	640	$220	$845K
E0565	Compressor, air power source for equipment which is not self-contained or cylinder driven	9	10	1,250	$710	$830.3K
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	5	10	670	$90	$793.2K

Showing 1–10 of 222

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kumar Patel	PA	Allergy & Immunology Physician	$150.4K	$577.2K
Matthew Kozminski	PA	Neurology Physician	$49.8K	$20.7K
Michael Rametta	PA	Audiologist	$2.9K	$0

Blackburns Physicians Pharmacy Inc — Billing Profile & Reimbursement Data

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Blackburns Physicians 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