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

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

Vantage Dme LLC (NPI 1295737567)

Field	Value
Entity Type	Organization
Organization	Vantage Dme LLC
Address	602 W Central Ave
City	Titusville
State	PA
ZIP	16354
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	June 1, 2005

Payer Source	Total Paid
Medicaid	$6.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

36 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	21,950	$100	$2.1M
A7030	Full face mask used with positive airway pressure device, each	5,380	$120	$656.2K
A7031	Face mask interface, replacement for full face mask, each	5,030	$130	$628.1K
E0601	Continuous positive airway pressure (CPAP) device	8,680	$60	$546.6K
E0570	Nebulizer, with compressor	4,880	$50	$263.5K
A7032	Cushion for use on nasal mask interface, replacement only, each	1,770	$140	$252.8K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	2,920	$80	$218.6K
E0562	Humidifier, heated, used with positive airway pressure device	1,430	$150	$217.7K
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	3,880	$50	$205.7K
A7037	Tubing used with positive airway pressure device	7,740	$30	$193.6K

Showing 1–10 of 36

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

Vantage Dme LLC — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E0603	Breast pump, electric (ac and/or dc), any type	25	30	1,170	$160	$579.6K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	9	160	2,820	$70	$484.6K
A7030	Full face mask used with positive airway pressure device, each	6	110	660	$80	$173K
E0601	Continuous positive airway pressure (CPAP) device	10	140	1,120	$50	$171.2K
A7031	Face mask interface, replacement for full face mask, each	10	110	930	$40	$116.4K
E0470	Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive…	7	50	460	$90	$109K
A4604	Tubing with integrated heating element for use with positive airway pressure device	56	80	680	$30	$97.5K
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	11	90	770	$40	$93.2K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	8	90	370	$50	$90.5K
E0562	Humidifier, heated, used with positive airway pressure device	31	100	730	$50	$83.3K

Showing 1–10 of 36

Vantage Dme LLC — Billing Profile & Reimbursement Data

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Vantage Dme 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