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

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

Tim's Home Medical LLC (NPI 1255711586)

Field	Value
Entity Type	Organization
Organization	Tim's Home Medical LLC
Address	980 S Us Highway 301
City	Jesup
State	GA
ZIP	31546
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	June 2, 2015

Payer Source	Total Paid
Medicaid	$666.8K
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	6,310	$40	$258.5K
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	560	$300	$164.9K
E0570	Nebulizer, with compressor	1,640	$40	$72.2K
E1392	Portable oxygen concentrator, rental	3,830	$10	$53.7K
E0601	Continuous positive airway pressure (CPAP) device	1,170	$30	$33.8K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	1,630	$10	$14.7K
E0562	Humidifier, heated, used with positive airway pressure device	1,210	$10	$14.5K
E0261	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress	900	$20	$13.5K
A7005	Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable	860	$20	$12.9K
K0001	Standard wheelchair	990	$10	$10.9K

Showing 1–10 of 19

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

Tim's Home Medical LLC — 3 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	2	10	560	$430	$602.3K
E0570	Nebulizer, with compressor	2	10	520	$80	$485.7K
A7005	Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable	2	10	860	$20	$195.2K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	2	10	670	$30	$55.3K
E1392	Portable oxygen concentrator, rental	1	10	1,440	$10	$18.8K
E0601	Continuous positive airway pressure (CPAP) device	2	10	710	$30	$18.5K
E0261	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress	1	10	900	$20	$13.6K
A7015	Aerosol mask, used with dme nebulizer	3	10	840	$1	$8K
A7030	Full face mask used with positive airway pressure device, each	4	10	90	$50	$6.2K
L3660	Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf	1	10	150	$40	$6.2K

Showing 1–10 of 19

Tim's Home Medical LLC — Billing Profile & Reimbursement Data

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Tim's Home Medical 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