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

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

Pharmacy Direct Delivery LLC (NPI 1255753869)

Field	Value
Entity Type	Organization
Organization	Pharmacy Direct Delivery LLC
Address	434 Hurricane Ln Ste 200
City	Williston
State	VT
ZIP	05495
Taxonomy	Long Term Care Pharmacy
NPI Enumerated	January 16, 2014

Payer Source	Total Paid
Medicaid	$161.6K
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	750	$90	$65.7K
T4524	Adult sized disposable incontinence product, brief/diaper, extra large, each	370	$120	$44.7K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	380	$60	$20.6K
T4541	Incontinence product, disposable underpad, large, each	510	$30	$16.7K
T4522	Adult sized disposable incontinence product, brief/diaper, medium, each	170	$80	$13.7K
A4927	Gloves, non-sterile, per 100	10	$20	$230

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Vermont Distribution

Pharmacy Direct Delivery LLC — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. Vermont median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T4524	Adult sized disposable incontinence product, brief/diaper, extra large, each	2	10	370	$60	$55.9K
T4522	Adult sized disposable incontinence product, brief/diaper, medium, each	3	10	180	$50	$27.1K
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	1	10	150	$90	$25.1K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	5	10	350	$30	$23.9K
T4541	Incontinence product, disposable underpad, large, each	1	10	20	$30	$5.9K
A4927	Gloves, non-sterile, per 100	6	10	340	$10	$4.4K

Nearby Providers

Other providers in the same ZIP code as Pharmacy Direct Delivery LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Primary Care Health Partners - Vermont LLP	VT	Family Medicine Physician	$0	$2.8M
Brian Ashley, Ma, Plc	VT	Psychologist	$0	$1M
Healthdirect Institutional Pharmacy Services, Inc.	VT	Long Term Care Pharmacy	$411.2K	$503.7K
Evergreen Family Health Partners	VT	Family Medicine Physician	$0	$626.1K
Town Of Williston	VT	Ambulance	$160.7K	$234.6K
Lisa Angstman	VT	Clinical Psychologist	$116.1K	$261.4K
Benjamin Physical Medicine, Plc	VT	Medical Specialty Clinic/Center	$0	$307.8K
Thomas Chittenden Health Center, Plc	VT	Family Medicine Physician	$0	$288.9K
Beth Morelli	VT	Mental Health Counselor	$0	$288.7K
Sawyer Lecompte	VT	Mental Health Counselor	$0	$284.7K

Pharmacy Direct Delivery LLC — Billing Profile & Reimbursement Data

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Pharmacy Direct Delivery 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

Nearby Providers

Frequently Asked Questions

References