Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidMedstuff Inc
    Ask Trek AI about this page

    Medstuff Inc — Billing Profile & Reimbursement Data

    NPI 1265768147 · Denver, CO · Pharmacy

    Customize your policy alerts

    Sign up for Medstuff Inc — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Medstuff Inc is a pharmacy provider located in Denver, Colorado. This profile covers 0 Medicare and 60 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    Table of contents

    Progress1 / 7

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools
    FieldValue
    Entity TypeOrganization
    OrganizationMedstuff Inc
    Address7150 Leetsdale Dr Unit 312
    CityDenver
    StateCO
    ZIP80224
    TaxonomyPharmacy
    NPI EnumeratedOctober 27, 2009

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

    Payer SourceTotal Paid
    Medicaid$9.6M
    Medicare$0

    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.

    60 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each12,110$170$2.1M
    A4554Disposable underpads, all sizes24,910$50$1.3M
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each16,350$60$981.2K
    A4927Gloves, non-sterile, per 10028,770$30$748.1K
    A6250Skin sealants, protectants, moisturizers, ointments, any type, any size24,570$30$737.1K
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each4,740$130$625.4K
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each3,120$160$499.4K
    E0221Infrared heating pad system210$2,060$431.2K
    B4150Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…3,350$100$318.1K
    B4154Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or…1,080$230$243.4K

    Showing 1–10 of 60

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Colorado median

    60 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate1321407,200$60$1.1M
    K0108Wheelchair component or accessory, not otherwise specified1110990$270$1M
    A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service61070$180$1M
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each7402,280$150$795.4K
    T4534Youth sized disposable incontinence product, protective underwear/pull-on, each21202,210$170$748.4K
    B4154Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or…13201,350$240$716.5K
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each12401,900$120$627.8K
    A4554Disposable underpads, all sizes9606,090$50$584.2K
    E0202Phototherapy (bilirubin) light with photometer210100$420$528.2K
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each7503,480$50$465.5K

    Showing 1–10 of 60

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Supreme Health Care,llcCOHomemaker$0$62.2M
    Irn International Corp.COHome Health Agency$0$51M
    Temure IncCOHome Health Agency$0$46.7M
    A Plus Personal Care Provider LLCCOIn Home Supportive Care Agency$0$33.7M
    Monaco Adult Day CareCOAdult Day Care Clinic/Center$0$29.7M
    Respect Home Health, Inc.COHome Health Agency$0$22.2M
    G&b Homecare Services, Inc.COIn Home Supportive Care Agency$0$18.8M
    Four Star Home Care IncCOIn Home Supportive Care Agency$0$13.9M
    Goldin Pharmacy And Medical Supply Inc.COCommunity/Retail Pharmacy$0$11.6M
    Prima Adult Day CareCODevelopmentally Disabled Services Day Training Agency$0$11.5M

    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. Colorado Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Colorado Distribution
    Medstuff Inc — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado