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

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

Rothall, Inc. (NPI 1306881263)

Field	Value
Entity Type	Organization
Organization	Rothall, Inc.
Address	1951 Lake Ave
City	Pueblo
State	CO
ZIP	81004
Taxonomy	Parenteral & Enteral Nutrition Supplies (DME)
NPI Enumerated	June 17, 2006

Payer Source	Total Paid
Medicaid	$4.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A4554	Disposable underpads, all sizes	11,830	$60	$697.8K
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	6,240	$100	$618K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	4,050	$150	$607.2K
S5165	Home modifications; per service	140	$3,620	$507.1K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	2,960	$140	$408.5K
A4927	Gloves, non-sterile, per 100	14,670	$20	$352.1K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	4,230	$80	$321.5K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	1,970	$140	$281.7K
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	1,210	$170	$203.1K
A6250	Skin sealants, protectants, moisturizers, ointments, any type, any size	6,080	$20	$121.6K

Showing 1–10 of 29

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

Rothall, Inc. — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	18	20	2,100	$310	$2.6M
S5165	Home modifications; per service	5	10	120	$3,580	$1.1M
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	3	10	70	$180	$1M
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	17	40	2,280	$150	$795.4K
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	15	20	2,210	$170	$748.4K
B4154	Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or…	19	20	1,350	$240	$716.5K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	17	40	1,900	$120	$627.8K
A4554	Disposable underpads, all sizes	16	60	6,090	$50	$584.2K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	19	50	3,480	$50	$465.5K
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	7	40	1,190	$90	$424.3K

Showing 1–10 of 29

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pueblo Community Health Center Inc	CO	Federally Qualified Health Center (FQHC)	$0	$55.3M
Catholic Health Initiatives Colorado	CO	General Acute Care Hospital	$0	$23.6M
Family Support Center Of Colorado, LLC	CO	Adolescent and Children Mental Health Clinic/Center	$0	$6.9M
Usacs Of Colorado Inc	CO	Emergency Medicine Physician	$0	$5.6M
Southern Colorado Health & Rehab	CO	Physical Therapist	$0	$5.5M
Jandyco, LLC	CO	Addiction Medicine (Family Medicine) Physician	$0	$4.1M
Pueblo Community Health Center Inc.	CO	Federally Qualified Health Center (FQHC)	$0	$3.9M
Rehab For All LLC	CO	Community/Behavioral Health Agency	$0	$3.5M
Colorado Treatment Services LLC	CO	Methadone Clinic	$260.8K	$0
Melchor Sipalay	CO	Internal Medicine Physician	$236.1K	$0

Rothall, Inc. — Billing Profile & Reimbursement Data

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Rothall, Inc. — 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