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

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

Byram Healthcare Centers, Inc. (NPI 1215982913)

Field	Value
Entity Type	Organization
Organization	Byram Healthcare Centers, Inc.
Address	10202 E Burnside St
City	Portland
State	OR
ZIP	97216
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	May 23, 2006

Payer Source	Total Paid
Medicaid	$123.8M
Medicare	$0

Key Findings

BYRAM HEALTHCARE CENTERS, INC. is effectively a Medicaid-focused DME supplier with $123.8M in lifetime Medicaid revenue and no Medicare billing on file; its NPI was enumerated 2006-05-23 (~20 years ago), indicating long-standing presence in the state market. The absence of Medicare activity means its commercial and Medicaid relationships will drive most payer-facing volume and contracting relevance.

Revenue is moderately concentrated: the precomputed top 3 Medicaid codes by revenue account for 31.9% of the provider's total Medicaid revenue. Those top three are A9276 ($14.6M, 14.6%), A4253 ($10.9M, 10.9%), and A4239 ($6.4M, 6.4%), showing a clear dependence on glucose-monitoring supplies and associated consumables.

The code mix strongly indicates a core business in diabetes management and continuous glucose monitoring (CGM): A9276 has 33.6K claims, A4253 has 116.9K claims, and A4239 has 27.9K claims. High claim counts combined with the dollar shares above suggest BYRAM operates large-scale distribution of sensors, test strips, and monthly CGM supply allowances as a primary service line.

BYRAM also shows dominant volume in incontinence and related consumables, with multiple T-codes at extreme state-level volumes: T4526, T4527, T4528, T4535, and T4541 each rank #1 in-state and are characterized as extreme outlier, far above typical state volume, together representing a multi-million dollar revenue stream. This pattern is consistent with a supplier that manages both high-frequency retail-style items and recurring monthly supplies for long-term care populations.

The provider spans both high-volume/low-unit-price items and higher-cost durable devices, indicating mixed supply and equipment capabilities. Examples include A4927 gloves at 259.2K claims ($12 avg paid/claim, $3.1M) on the high-volume consumables side, and E0784 external ambulatory infusion pumps (insulin) at 3.9K claims ($1226 avg paid/claim, $4.8M) and A9277 transmitters ($764 avg paid/claim, $5.5M) on the higher-priced device side.

BYRAM’s competitive standing in Oregon is strong: it ranks #1 of many in-state peers and is at the 100th percentile for numerous codes (and labeled extreme outlier or notably above typical for many categories), signaling a dominant statewide position in several DME categories rather than being a modest participant. Analysts should treat BYRAM as a major supplier for CGM, incontinence, and several catheter and wound-care codes.

Several codes show no state peer volume comparison (noted as 0th percentile), implying BYRAM may be the sole or one of very few Medicaid billers for those items in-state. Examples with that status include E0784, A4353, A4224, and A9278, which suggests unique routed billing for some pump-related supplies and insertion/monitor accessories within Oregon Medicaid.

For payer strategy and utilization review considerations, the combination of very high-volume consumables (e.g., A4253 and A4927 labeled extreme outlier, far above typical state volume) and concentrated revenue (top 3 codes = 31.9% of Medicaid revenue) means BYRAM materially impacts Medicaid spend in those lines. Contracting, network adequacy, and supply-chain discussions should therefore account for BYRAM’s outsized share of CGM supplies, incontinence products, and selected durable insulin-delivery equipment.

Medicaid: Complete Services Breakdown

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

157 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	33,570	$440	$14.6M
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	116,880	$90	$10.9M
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	27,940	$230	$6.4M
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	7,200	$760	$5.5M
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	70,320	$80	$5.5M
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	63,570	$80	$5.3M
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	58,060	$90	$5.2M
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	92,720	$50	$4.9M
E0784	External ambulatory infusion pump, insulin	3,930	$1,230	$4.8M
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	65,930	$70	$4.4M

Showing 1–10 of 157

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Oregon Distribution

Byram Healthcare Centers, Inc. — 21 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. Oregon median

157 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	1	10	1,910	$460	$5.5M
E0784	External ambulatory infusion pump, insulin	1	10	3,930	$1,230	$4.8M
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	1	10	4,260	$700	$3M
A4353	Intermittent urinary catheter, with insertion supplies	1	10	2,900	$650	$1.9M
A4224	Supplies for maintenance of insulin infusion catheter, per week	1	10	18,890	$70	$1.3M
A9278	Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	1	10	2,270	$580	$1.3M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	5	20	1,990	$210	$1.1M
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…	5	10	580	$480	$1.1M
A4352	Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each	1	10	2,380	$410	$987.3K
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	1	10	280	$140	$859.2K

Showing 1–10 of 157

Related Providers

Other providers that share a Tax Identification Number (TIN) with Byram Healthcare Centers, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Byram Healthcare Centers, Inc.	CA	Pharmacy	$0	$271.4M
Byram Healthcare Centers, Inc.	IL	Durable Medical Equipment & Medical Supplies	$0	$142.4M
Byram Healthcare Centers, Inc.	NY	Durable Medical Equipment & Medical Supplies	$0	$106.3M
Byram Healthcare Centers, Inc.	WA	Durable Medical Equipment & Medical Supplies	$0	$92.8M
Byram Healthcare Centers, Inc.	TN	Durable Medical Equipment & Medical Supplies	$0	$44.3M
Byram Healthcare Centers, Inc.	CT	Durable Medical Equipment & Medical Supplies	$0	$30.2M
Byram Healthcare Centers, Inc	MA	Durable Medical Equipment & Medical Supplies	$0	$25.2M
Byram Healthcare Centers, Inc.	CO	Durable Medical Equipment & Medical Supplies	$0	$17.4M
Byram Healthcare Centers, Inc.	GA	Durable Medical Equipment & Medical Supplies	$0	$13.3M
Byram Healthcare Centers, Inc.	OH	Durable Medical Equipment & Medical Supplies	$0	$11.5M

Nearby Providers

Other providers in the same ZIP code as Byram Healthcare Centers, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fora Health Inc.	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$54.4M
Portland Adventist Medical Center	OR	General Acute Care Hospital	$0	$41.8M
Portland Adventist Medical Center	OR	Family Medicine Physician	$0	$12.8M
Portland Adventist Medical Center	OR	Family Medicine Physician	$0	$5.8M
Portland Adventist Medical Center	OR	Emergency Medical Services (Emergency Medicine) Physician	$0	$5M
Cep America LLC	OR	Emergency Medicine Physician	$0	$2.9M
Diagnostic Radiologists PC	OR	Diagnostic Radiology Physician	$0	$2.7M
Jonathan Yoken	OR	Retina Specialist (Ophthalmology) Physician	$1.5M	$0
Rsa - Portland, LLC	OR	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.3M
Brian Chan-kai	OR	Retina Specialist (Ophthalmology) Physician	$1.3M	$0

Byram Healthcare Centers, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References