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    OpenPayerNPI Medicare & MedicaidOrthofix Us LLC
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    Orthofix Us LLC — Billing Profile & Reimbursement Data

    NPI 1235136060 · Lewisville, TX · Durable Medical Equipment & Medical Supplies

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    Orthofix Us LLC is a durable medical equipment & medical supplies provider located in Lewisville, Texas. This profile covers 0 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationOrthofix Us LLC
    Address3451 Plano Pkwy
    CityLewisville
    StateTX
    ZIP75056
    TaxonomyDurable Medical Equipment & Medical Supplies
    NPI EnumeratedJuly 7, 2005

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

    Payer SourceTotal Paid
    Medicaid$76.2M
    Medicare$0

    Key Findings

    ORTHOFIX US LLC’s claim mix and taxonomy indicate it operates as a durable medical equipment supplier specializing in osteogenesis stimulation devices: its top Medicaid codes are E0748 (electrical, non‑invasive, spinal applications), E0747 (electrical, non‑invasive, other than spinal), and E0760 (low intensity ultrasound, non‑invasive), which are device-focused HCPCS codes rather than procedure services. This code mix is consistent with a DME & Medical Supplies operation that supplies or rents bone-growth stimulation equipment to beneficiaries under Medicaid.

    Revenue is highly concentrated in a narrow set of device codes: the top three Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, with E0748 generating $57.7M (43.6K claims, $1323 avg paid/claim, 75.7% of total), E0747 generating $16.3M (11.3K claims, $1447 avg paid/claim, 21.4% of total), and E0760 generating $2.2M (1.4K claims, $1584 avg paid/claim, 2.9% of total). This concentration indicates that virtually all Medicaid revenue is produced by sales/rents of osteogenesis stimulation devices.

    On payer mix, ORTHOFIX US LLC is effectively a Medicaid-only reporter: total Medicare revenue is listed as none (no Medicare billing on file), while total Medicaid revenue is $76.2M. Analysts should treat this profile as a single-payer Medicaid operation for purposes of payer-strategy or risk analyses, since there is no Medicare billing activity to balance Medicaid exposure.

    Competitive standing within Texas Medicaid appears to reflect sole in‑state reporting for these device codes: each of the three top codes is listed as rank #1 of 1 providers in-state with the note "0th percentile; no state peer volume comparison available." That framing suggests ORTHOFIX is the only in‑state entity appearing in the Medicaid data for these codes, creating a de facto exclusive or dominant supplier position in the state Medicaid dataset for osteogenesis stimulators, though no multi-provider percentile comparison is available.

    The provider shows long tenure in the NPI registry, enumerated on 2005-07-07 (~21 years ago), which supports an interpretation of established market presence and likely longstanding payer relationships within Medicaid for these durable medical devices. This longevity is consistent with accumulating $76.2M in lifetime Medicaid revenue concentrated in device codes.

    Payment levels per claim are substantial for device claims: reported avg paid/claim are $1323 for E0748, $1447 for E0747, and $1584 for E0760. Those per-claim payment rates, combined with high claim volumes for the electrical stimulators, explain the large revenue totals and reflect the higher-price nature of DME device reimbursements relative to routine service codes.

    A handful of ancillary codes are present but immaterial to revenue: S9999 (Sales tax) shows 23 claims with $0 avg paid/claim and $0 revenue (0.0% of total Medicaid revenue) and is described as "typical, unremarkable volume for this code." This confirms that non-device ancillary billing does not meaningfully contribute to the provider’s Medicaid revenue profile.

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    E0748Osteogenesis stimulator, electrical, non-invasive, spinal applications43,590$1,320$57.7M
    E0747Osteogenesis stimulator, electrical, non-invasive, other than spinal applications11,280$1,450$16.3M
    E0760Osteogenesis stimulator, low intensity ultrasound, non-invasive1,390$1,580$2.2M
    S9999Sales tax20$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Texas median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    E0748Osteogenesis stimulator, electrical, non-invasive, spinal applications11043,590$1,320$57.7M
    E0747Osteogenesis stimulator, electrical, non-invasive, other than spinal applications11011,280$1,450$16.3M
    E0760Osteogenesis stimulator, low intensity ultrasound, non-invasive1101,390$1,580$2.2M
    S9999Sales tax31040$0$0

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Orthofix Us LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Laboratory Corporation Of America HoldingsNCClinical Medical Laboratory$214.6M$1.4B
    Laboratory Corporation Of America HoldingsNJClinical Medical Laboratory$143.3M$717.5M
    Natera, Inc.CAClinical Medical Laboratory$133.1M$641.5M
    Unilab CorporationCAClinical Medical Laboratory$94M$668.5M
    Bioreference Health, LLCNJClinical Medical Laboratory$66.8M$620.1M
    Laboratory Corporation Of America HoldingsOHClinical Medical Laboratory$56.9M$617M
    Millennium Health, LLCCAClinical Medical Laboratory$20.4M$579.3M
    Exact Sciences Laboratories, LLCWIClinical Medical Laboratory$299.3M$276.5M
    Aeroflow Inc.NCDurable Medical Equipment & Medical Supplies$0$571.9M
    Zoll Services LLCPADurable Medical Equipment & Medical Supplies$0$503.8M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Care One Personal Health Services. Inc.TXPersonal Care Attendant$0$11.2M
    Stanislav TolkachjovTXDermatology Physician$1M$1.1K
    Geneiq LLCTXClinical Medical Laboratory$45.5K$401.7K
    Tanner MattisonTXAnatomic Pathology & Clinical Pathology Physician$27K$271.7K
    Rachel CorleyTXClinical Social Worker$86.5K$0

    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. Texas Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Texas Distribution
    Orthofix Us LLC — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas