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    OpenPayerNPI Medicare & MedicaidBio Medic Appliances Inc
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    Bio Medic Appliances Inc — Billing Profile & Reimbursement Data

    NPI 1306937495 · Essex Junction, VT · Prosthetic/Orthotic Supplier

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    Bio Medic Appliances Inc is a prosthetic/orthotic supplier provider located in Essex Junction, Vermont. This profile covers 0 Medicare and 7 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
    OrganizationBio Medic Appliances Inc
    Address8a Ewing Pl
    CityEssex Junction
    StateVT
    ZIP05452
    TaxonomyProsthetic/Orthotic Supplier
    NPI EnumeratedSeptember 27, 2006

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

    Payer SourceTotal Paid
    Medicaid$568K
    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    L2275Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined1,640$100$167.7K
    L1907Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated350$450$159.2K
    L2840Addition to lower extremity orthosis, tibial length sock, fracture or equal, each2,800$50$137.1K
    L3202Orthopedic shoe, oxford with supinator or pronator, child1,030$60$58.8K
    L1970Ankle foot orthosis, plastic with ankle joint, custom fabricated70$540$36.2K
    L2200Addition to lower extremity, limited ankle motion, each joint90$60$4.7K
    L2210Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint80$50$4.4K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Vermont median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    L2275Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined1101,640$100$168.2K
    L1907Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated110350$450$159.2K
    L2840Addition to lower extremity orthosis, tibial length sock, fracture or equal, each1101,410$50$69.2K
    L3202Orthopedic shoe, oxford with supinator or pronator, child1101,030$60$59.3K
    L1970Ankle foot orthosis, plastic with ankle joint, custom fabricated11070$540$36.1K
    L2200Addition to lower extremity, limited ankle motion, each joint11090$50$4.7K
    L2210Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint11080$50$4.3K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Bio Medic Appliances Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vgm Group, Inc.IADurable Medical Equipment & Medical Supplies$0$54.4M
    Hanger Prosthetics & Orthotics West, Inc.AZProsthetic/Orthotic Supplier$0$8.2M
    Hanger Prosthetics & Orthotics East IncILProsthetic/Orthotic Supplier$0$4.8M
    Advanced Orthopro, IncINProsthetic/Orthotic Supplier$0$4.5M
    Hanger Prosthetics & Orthotics IncMEProsthetic/Orthotic Supplier$0$744.6K
    Hanger Prosthetics & Orthotics IncDCProsthetic/Orthotic Supplier$0$615.8K
    Nascott, IncDCProsthetic/Orthotic Supplier$0$498.3K
    Hanger Prosthetics & Orthotics IncDCProsthetic/Orthotic Supplier$0$439.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Essex Pediatrics PCVTPediatrics Physician$0$1.2M
    Essex Rescue IncVTLand Ambulance$307.8K$787.8K
    Vermont Medical Sleep Disorders Center, Inc.VTDurable Medical Equipment & Medical Supplies$0$841.4K
    Jennifer DonohueVTMental Health Counselor$0$648.7K
    Roscoe FerrisVTClinical Social Worker$0$647.5K
    Lincare Inc.VTDurable Medical Equipment & Medical Supplies$0$611.6K
    Pamela BarnesVTMental Health Counselor$0$311.6K
    Amber MintonVTClinical Social Worker$0$222K
    Vermont Wellness Collaborative LLCVTClinical Social Worker$0$213K
    Nvos, PCVTOral and Maxillofacial Surgery (Dentist)$0$132.3K

    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. Vermont Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Vermont Distribution
    Bio Medic Appliances Inc — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Vermont