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

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

Diabetic Equipment And Supplies LLC (NPI 1255740387)

Field	Value
Entity Type	Organization
Organization	Diabetic Equipment And Supplies LLC
Address	6445 Corporate Dr
City	Johnston
State	IA
ZIP	50131
Taxonomy	Customized Equipment (DME)
NPI Enumerated	August 2, 2014

Payer Source	Total Paid
Medicaid	$42.3M
Medicare	$0

Key Findings

DIABETIC EQUIPMENT AND SUPPLIES LLC operates as a high-volume diabetes DME supplier: its top billed items are continuous glucose monitoring (CGM) supplies (A9276 sensor, A9277 transmitter, A4239 supply allowance) and insulin infusion/infusion-related supplies (A4222 infusion supplies, A9274 external ambulatory insulin delivery system). The code mix and descriptions indicate the business model is focused on recurring, disposable supplies and accessories for CGM and insulin pump therapy rather than capital equipment or varied DME lines.

Revenue is highly concentrated in a few Medicaid codes: the precomputed top-3 codes account for 73.0% of this provider's total Medicaid revenue, with A9276 generating $18.6M (44.1%), A4222 generating $6.7M (15.8%), and A9277 generating $5.5M (13.1%) of the $42.3M Medicaid book of business. This concentration shows that a small set of consumable product lines drive most of reported Medicaid revenue.

This provider is effectively single-payer at scale: there is no Medicare billing on file while Medicaid revenue totals $42.3M, indicating the operation is substantially dependent on Medicaid as its primary payer and patient population. Analysts should treat Medicare-market dynamics as irrelevant for this entity’s current revenue profile and focus competitive and utilization comparisons within Medicaid.

Competitive standing in Iowa is dominant for multiple diabetes supply codes: the provider ranks #1 in-state for A9276 (1 of 10 providers, 100th percentile; notably above typical state volume), A4222 (1 of 10, 100th percentile; notably above typical state volume), and A4239 (1 of 38, 100th percentile; extreme outlier). These rank/percentile positions indicate the provider is a market leader for several core CGM and infusion supply lines within the state.

Several codes are labeled as statistical outliers relative to state peers, reinforcing dominance in specific product categories: A4239 is an "extreme outlier, far above typical state volume for this code," A4253 is a 99th percentile extreme outlier among 277 providers, and K0553 is #1 of 19 providers at the 100th percentile and also described as an extreme outlier. These designations suggest unusually large per-code volumes for CGM supply allowances and related consumables compared with other in-state suppliers.

Operational throughput is large and driven by recurring daily/monthly consumables: claim volumes such as 45.4K claims for A9276 and 17.3K claims for A4239, alongside 12.6K claims for A4222, point to a high-frequency distribution model supplying many beneficiaries on ongoing CGM and infusion regimens. For contract or network strategy, expect heavier ongoing supply management and logistics demands rather than one-time durable equipment deliveries.

The provider has an established presence with an NPI enumerated on 2014-08-02 (~12 years ago), indicating roughly a decade of operational tenure in the Medicaid market; combined with its rank positions and high claim volumes, this tenure supports a picture of a sustained, mature supplier specializing in diabetes supplies in Iowa.

Medicaid: Complete Services Breakdown

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

26 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	45,370	$410	$18.6M
A4222	Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)	12,610	$530	$6.7M
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	12,160	$460	$5.5M
A9274	External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories	8,700	$420	$3.7M
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	17,290	$200	$3.5M
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	9,800	$180	$1.7M
A4224	Supplies for maintenance of insulin infusion catheter, per week	4,830	$180	$855.1K
A9278	Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	1,370	$420	$577.6K
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	7,800	$40	$312K
E2103	Non‑adjunctive, non‑implanted continuous glucose monitor or receiver	1,180	$240	$283.9K

Showing 1–10 of 26

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Iowa Distribution

Diabetic Equipment And Supplies LLC — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. Iowa median

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	1	10	6,340	$450	$2.8M
A9274	External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories	1	10	4,720	$440	$2.1M
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	40	$390	$2M
A4222	Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)	1	10	1,810	$310	$1.2M
A4224	Supplies for maintenance of insulin infusion catheter, per week	1	10	2,010	$150	$412.9K
A4230	Infusion set for external insulin pump, non needle cannula type	3	10	2,050	$160	$314.9K
A9278	Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	1	10	720	$400	$289.3K
E2103	Non‑adjunctive, non‑implanted continuous glucose monitor or receiver	1	10	1,180	$240	$283.9K
A4232	Syringe with needle for external insulin pump, sterile, 3 cc	3	10	2,410	$40	$118.3K
E0784	External ambulatory infusion pump, insulin	1	10	70	$1,670	$116.7K

Showing 1–10 of 26

Nearby Providers

Other providers in the same ZIP code as Diabetic Equipment And Supplies LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Childserve Community Options, Inc.	IA	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$47.6M
Creative Community Options Inc	IA	Day Training/Habilitation Specialist	$0	$41.5M
Johnston Csd	IA	Local Education Agency (LEA)	$0	$13.9M
Childserve Homes Inc.	IA	Mental Illness Intermediate Care Facility	$0	$10M
Youth Homes Of Mid-america	IA	Rehabilitation Clinic/Center	$0	$9.4M
Childserve Therapy, Inc.	IA	Physical Therapist	$0	$4.5M
The Childserve Clinic Inc	IA	Pediatrics Physician	$0	$4.5M
Goodwill Industries Of Central Iowa	IA	Developmentally Disabled Services Day Training Agency	$0	$3.7M
Childserve Medical Equipment & Supply Inc.	IA	Durable Medical Equipment & Medical Supplies	$0	$2.7M
Mending Minds, LLC	IA	Psychiatric/Mental Health Nurse Practitioner	$0	$2.5M

Diabetic Equipment And Supplies LLC — Billing Profile & Reimbursement Data

Sign up for Diabetic Equipment And Supplies LLC — Billing Profile & Reimbursement Data policy alerts

Diabetic Equipment And Supplies LLC — Billing Profile & Reimbursement Data

Sign up for Diabetic Equipment And Supplies LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References