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    OpenPayerNPI Medicare & MedicaidAdapthealth Patient Care Solutions LLC
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    Adapthealth Patient Care Solutions LLC — Billing Profile & Reimbursement Data

    NPI 1275851800 · Auburn, AL · Durable Medical Equipment & Medical Supplies

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    Adapthealth Patient Care Solutions LLC is a durable medical equipment & medical supplies provider located in Auburn, Alabama. This profile covers 0 Medicare and 89 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
    OrganizationAdapthealth Patient Care Solutions LLC
    Address2436 E University Dr Ste 2202
    CityAuburn
    StateAL
    ZIP36830
    TaxonomyDurable Medical Equipment & Medical Supplies
    NPI EnumeratedMay 6, 2010

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

    Payer SourceTotal Paid
    Medicaid$10M
    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.

    89 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A4351Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each15,220$80$1.1M
    T4522Adult sized disposable incontinence product, brief/diaper, medium, each13,330$80$1M
    T4521Adult sized disposable incontinence product, brief/diaper, small, each9,690$80$736.5K
    A4353Intermittent urinary catheter, with insertion supplies2,820$240$688.6K
    E0603Breast pump, electric (ac and/or dc), any type3,160$210$663.4K
    A4352Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each2,640$200$525.6K
    T4530Pediatric sized disposable incontinence product, brief/diaper, large size, each9,250$60$517.7K
    A4414Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each7,240$60$405.3K
    T4523Adult sized disposable incontinence product, brief/diaper, large, each4,490$70$291.9K
    A5061Ostomy pouch, drainable; with barrier attached, (1 piece), each6,030$50$271.4K

    Showing 1–10 of 89

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Alabama median

    89 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A9276Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply8101,090$360$893.5K
    A4353Intermittent urinary catheter, with insertion supplies210840$310$879.1K
    A4352Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each2103,560$130$473.6K
    A4351Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each210700$60$375.9K
    A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service1110500$360$290.2K
    K0553Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service410250$270$280.9K
    E0603Breast pump, electric (ac and/or dc), any type110940$160$230.5K
    A6197Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing110930$230$218.7K
    T4521Adult sized disposable incontinence product, brief/diaper, small, each110440$90$209.8K
    A5061Ostomy pouch, drainable; with barrier attached, (1 piece), each1105,090$40$204.4K

    Showing 1–10 of 89

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Adapthealth Patient Care Solutions LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Adapthealth Patient Care Solutions LLCPADurable Medical Equipment & Medical Supplies$0$93.6M
    Diabetes Supply Center Of The Midlands LLCNEDurable Medical Equipment & Medical Supplies$0$40.7M

    Nearby Providers

    Other providers in the same ZIP code as Adapthealth Patient Care Solutions LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    East Alabama Pediatric Dentistry & OrthodonticsALPediatric Dentistry$0$9.1M
    Liles Pediatric DentistryALPediatric Dentistry$0$8M
    Maternity Services Of District 11, LLCALExclusive Provider Organization$0$5.8M
    Stopwatch Urgent Care Centers LLCALUrgent Care Clinic/Center$0$3.1M
    Ofs, LLCALOral and Maxillofacial Surgery (Dentist)$0$2.7M
    Liles Family Dentistry, LLCALDental Clinic/Center$0$2.1M
    All For Children, LLCALSpeech-Language Pathologist$0$2.1M
    Auburn TlcALSpeech-Language Pathologist$0$1.9M
    Auburn Pediatric DentistryALPediatric Dentistry$0$1.4M
    Auburn Speech & Language Services, Inc.ALSpeech-Language Pathologist$0$1.4M

    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. Alabama Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Alabama Distribution
    Adapthealth Patient Care Solutions LLC — 15 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama