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    OpenPayerNPI Medicare & MedicaidValmar Surgical Supplies Inc
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    Valmar Surgical Supplies Inc — Billing Profile & Reimbursement Data

    NPI 1245387943 · Millville, NJ · Durable Medical Equipment & Medical Supplies

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    Valmar Surgical Supplies Inc is a durable medical equipment & medical supplies provider located in Millville, New Jersey. This profile covers 0 Medicare and 103 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
    OrganizationValmar Surgical Supplies Inc
    Address416 S 15th St
    CityMillville
    StateNJ
    ZIP08332
    TaxonomyDurable Medical Equipment & Medical Supplies
    NPI EnumeratedJanuary 4, 2007

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

    Payer SourceTotal Paid
    Medicaid$86.4M
    Medicare$0

    Key Findings

    VALMAR SURGICAL SUPPLIES INC is effectively a Medicaid-focused Durable Medical Equipment & Medical Supplies supplier: it has no Medicare billing on file and $86.4M in lifetime Medicaid revenue, and its NPI was enumerated 2007-01-04 (~19 years ago), indicating long tenure as a Medicaid DME vendor. This combination of a long-established NPI and exclusively Medicaid revenue suggests its operations and contracting are concentrated on state Medicaid programs rather than Medicare markets.

    Revenue is highly concentrated in a few product codes: the precomputed top three Medicaid codes account for 49.2% of the provider's total Medicaid revenue. Those top three are T4523 ($14.9M, 17.8% of total), A4554 ($14.5M, 17.4% of total) and T4522 ($11.7M, 14.0% of total), showing that nearly half of Medicaid dollars flow through a narrow set of incontinence and absorbent-product codes.

    The code mix points to a core business built around high-volume disposable incontinence supplies and related disposable products: T4523 (286.7K claims), A4554 (538.2K claims), T4522 (326.3K claims), T4535 (584.8K claims) and T4524 (120.9K claims) are among the largest lines by claims and revenue. These volumes and the predominance of per-item codes imply the company operates a high-transaction, unit-dispensing model serving large populations or institutional settings that routinely consume disposable briefs, underpads, and liners.

    VALMAR appears to be a dominant statewide supplier for many of its top Medicaid lines: it ranks #1 in-state and at the 100th percentile for T4523, A4554, T4522, T4524, A4927 and several other codes, with the dataset labeling several of these as "extreme outlier" or "notably above typical state volume." Those rank and percentile positions characterize the provider as a major, often market-leading DME vendor in New Jersey for incontinence and certain disposable supplies.

    Beyond disposables, VALMAR also reports material revenue in orthotics and mobility equipment, indicating product breadth across DME categories. Notable items include L3000 (23.2K claims, $3.5M revenue; rank #2 of 111, 99th percentile), E0241 (31.5K claims, $3.2M revenue; rank #1 of 2) and E0240 (11.9K claims, $404.8K revenue; rank #1 of 8, 100th percentile), showing the provider supplies both consumables and higher-priced durable items.

    Claim counts are extremely large for several codes, reflecting scale of distribution rather than episodic device sales: for example, T4535 has 584.8K claims, A4927 has 541K claims, and A4554 has 538.2K claims. These high-volume, low-unit-price transaction patterns are consistent with a supplier that serves high-utilization settings (e.g., long-term care, home care populations) and manages large logistics and inventory throughput.

    Not all code lines are outliers; a number of secondary codes show typical or unremarkable statewide volumes. Examples include T4537 (92.3K claims; rank #1 of 4—labeled typical), L3216 (7.9K claims; rank #6 of 48, 89th percentile) and several small-dollar durable items, which indicates that while the provider is highly concentrated and exceptional in core disposable supplies, its broader product mix contains more ordinary competitive positions.

    For payers and analysts, the combination of single-payer (Medicaid-only) scale, top-code concentration (49.2% of Medicaid revenue in the top three codes), and repeated 100th-percentile/#1 in-state rankings suggests VALMAR is a primary avenue for Medicaid incontinence and disposable-supply procurement in New Jersey. Those facts make the provider a logical focus for state-level network contracting, utilization management, and price benchmarking specific to high-volume incontinence and related supplies.

    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.

    103 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T4523Adult sized disposable incontinence product, brief/diaper, large, each286,710$50$14.9M
    A4554Disposable underpads, all sizes538,210$30$14.5M
    T4522Adult sized disposable incontinence product, brief/diaper, medium, each326,290$40$11.7M
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each584,840$20$11.7M
    T4524Adult sized disposable incontinence product, brief/diaper, extra large, each120,910$60$7.1M
    T4543Adult sized disposable incontinence product, protective brief/diaper, above extra large, each32,670$120$3.9M
    L3000Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each23,170$150$3.5M
    E0241Bath tub wall rail, each31,490$100$3.2M
    T4537Incontinence product, protective underpad, reusable, bed size, each92,330$30$3M
    A4927Gloves, non-sterile, per 100540,960$1$2.2M

    Showing 1–10 of 103

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New Jersey median

    103 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each1104,300$20$1.7M
    E0241Bath tub wall rail, each11015,760$100$1.6M
    T4543Adult sized disposable incontinence product, protective brief/diaper, above extra large, each1101,110$140$1.2M
    T4523Adult sized disposable incontinence product, brief/diaper, large, each1201,230$60$1.2M
    T4522Adult sized disposable incontinence product, brief/diaper, medium, each1101,060$40$1.1M
    T4537Incontinence product, protective underpad, reusable, bed size, each11018,520$30$1M
    T4539Incontinence product, diaper/brief, reusable, any size, each21032,090$30$838.3K
    T4524Adult sized disposable incontinence product, brief/diaper, extra large, each120620$70$728.7K
    E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate14303,690$60$569.3K
    A4554Disposable underpads, all sizes1401,080$30$564K

    Showing 1–10 of 103

    • More pages

    Nearby Providers

    Other providers in the same ZIP code as Valmar Surgical Supplies Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cumberland County Guidance CenterNJMental Health Clinic/Center (Including Community Mental Health Center)$0$21.2M
    Cumberland County Guidance CenterNJMental Illness Community Based Residential Treatment Facility$0$12.9M
    Millville Board Of EducationNJLocal Education Agency (LEA)$0$9.6M
    Caring, Inc.NJAssisted Living Facility$0$9M
    Cumberland County Guidance CenterNJCommunity/Behavioral Health Agency$0$7.4M
    Manuel CunananNJPulmonary Disease Physician$280.7K$0
    Malgorzata Piszcz-connellyNJInternal Medicine Physician$199.3K$0
    Robert CoifmanNJAllergy & Immunology (Internal Medicine) Physician$65.5K$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. New Jersey Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Jersey Distribution
    Valmar Surgical Supplies Inc — 21 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey