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

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

Scooters America LLC (NPI 1235141474)

Field	Value
Entity Type	Organization
Organization	Scooters America LLC
Address	170 Stewart Rd Sw
City	Pacific
State	WA
ZIP	98047
Taxonomy	Customized Equipment (DME)
NPI Enumerated	August 13, 2006

Payer Source	Total Paid
Medicaid	$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.

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E1161	Manual adult size wheelchair, includes tilt in space	3,420	$310	$1M
E1007	Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction	220	$3,780	$820.5K
K0005	Ultralightweight wheelchair	230	$1,420	$331.1K
E2311	Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function…	280	$990	$276.5K
E1028	Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other	5,400	$50	$242.8K
K0861	Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds	80	$2,690	$201.9K
E2620	Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware	670	$260	$173.9K
E0973	Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each	1,710	$80	$131.7K
E0955	Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each	4,120	$30	$123.5K
K0108	Wheelchair component or accessory, not otherwise specified	710	$150	$110K

Showing 1–10 of 31

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Washington Distribution

Scooters America LLC — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. Washington median

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E1007	Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction	2	10	200	$4,150	$850.1K
E1161	Manual adult size wheelchair, includes tilt in space	2	20	580	$660	$771K
K0005	Ultralightweight wheelchair	3	10	80	$2,020	$748.4K
K0108	Wheelchair component or accessory, not otherwise specified	9	20	1,510	$160	$423.6K
K0861	Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds	2	10	80	$2,850	$418.5K
E2311	Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function…	3	10	370	$1,090	$413.9K
E2620	Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware	3	10	300	$310	$155.2K
E1028	Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other	4	30	890	$70	$153.8K
E1012	Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each	3	10	360	$430	$149.5K
K0739	Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes	8	20	640	$60	$112.5K

Showing 1–10 of 31

Scooters America LLC — Billing Profile & Reimbursement Data

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Scooters America LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References