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.

Tender Care Pediatric Services, Inc (NPI 1316364011)

Field	Value
Entity Type	Organization
Organization	Tender Care Pediatric Services, Inc
Address	5677 Boeing Dr
City	Loveland
State	CO
ZIP	80538
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	March 20, 2014

Payer Source	Total Paid
Medicaid	$38.3M
Medicare	$0

Key Findings

TENDER CARE PEDIATRIC SERVICES, INC is effectively a single-payer DME provider: it has no Medicare billing on file and reports $38.3M in lifetime Medicaid revenue, indicating its scale and revenue are concentrated wholly in Medicaid rather than split across Medicare and Medicaid. This payer mix makes Medicaid the primary contracting and utilization driver for the organization.

Revenue concentration is high in a few lines: the precomputed top 3 Medicaid codes account for 37.9% of the provider’s Medicaid revenue, led by E0465 ($5M, 14.7%), B4161 ($4.4M, 13.0%), and B4035 ($3.5M, 10.2%). These three codes alone represent over one-third of the $38.3M Medicaid footprint, highlighting reliance on ventilator services and enteral nutrition supplies.

The code mix and taxonomy (Durable Medical Equipment & Medical Supplies) point to a pediatric-focused home medical supply operation: multiple pediatric enteral formulas (B4161, B4160, B4149), daily enteral kits (B4035), pediatric-sized incontinence products (T4534, T4530), and tracheostomy/ventilator-related items (E0465, E0466, A7520). This pattern suggests the business model centers on ongoing, high-frequency supply delivery and device support for medically complex children in the home.

Within enteral nutrition and supplies the provider is a strong in-state competitor: B4161 (5.9K claims, $4.4M revenue) ranks #2 of 14 providers (92th percentile) and B4035 (14.4K claims, $3.5M revenue) ranks #2 of 22 providers (95th percentile). Additional enteral supply volume is underscored by B9998 (15.5K claims, $1.9M revenue) ranking #2 of 13 providers (92th percentile), indicating above-typical market share in enteral product lines statewide.

Respiratory services show a mixed competitive profile: invasive home ventilator E0465 (3.4K claims, $5M revenue) ranks #3 of 5 providers (50th percentile) which is typical for that narrow peer set, while non-invasive ventilator E0466 (2.5K claims, $2.2M revenue) ranks #10 of 38 providers (76th percentile). However, the provider is dominant in certain accessory and monitoring items — A4606 (14K claims, $1.4M revenue) ranks #1 of 8 providers (100th percentile; notably above typical state volume) and E0600 (12K claims, $588.6K revenue) ranks #1 of 15 providers (100th percentile; extreme outlier) — signaling particular strength in oxygen probes and suction pumps.

Operational scale is evident from very large claim counts across multiple supply lines: examples include B4035 14.4K claims, B9998 15.5K claims, A4606 14K claims and E1390 14.4K claims. Those high-frequency claim volumes are consistent with a fulfillment-heavy DME operation that supplies recurring consumables and rentals for pediatric home care, and they imply logistics and inventory capacity supporting sustained Medicaid utilization.

The provider has an established presence over time: the NPI was enumerated on 2014-03-20 (~12 years ago), indicating roughly a decade-plus operating history that would support the sustained Medicaid revenue base seen here. This tenure, combined with concentrated volumes in enteral and respiratory supplies, suggests an entrenched state-level supplier role that payers should consider when evaluating network adequacy and contracting for pediatric home DME services.

Medicaid: Complete Services Breakdown

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

96 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	3,350	$1,490	$5M
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	5,880	$750	$4.4M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	14,420	$240	$3.5M
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,…	7,490	$360	$2.7M
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	11,550	$190	$2.2M
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	6,510	$340	$2.2M
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	2,530	$860	$2.2M
B9998	Noc for enteral supplies	15,460	$130	$1.9M
E0445	Oximeter device for measuring blood oxygen levels non-invasively	3,980	$380	$1.5M
A4606	Oxygen probe for use with oximeter device, replacement	13,980	$100	$1.4M

Showing 1–10 of 96

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

Tender Care Pediatric Services, Inc — 3 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

96 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	2	10	1,430	$720	$3.4M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	3	10	3,350	$1,110	$3.3M
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,…	4	20	2,100	$310	$2.6M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	2	20	2,840	$230	$1.8M
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	2	10	1,400	$340	$1.4M
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	2	10	2,420	$140	$1.3M
B4153	Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	7	10	670	$450	$1.1M
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	44	140	7,200	$60	$1.1M
B9998	Noc for enteral supplies	2	10	4,710	$80	$1M
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	10	40	1,070	$540	$919.6K

Showing 1–10 of 96

Nearby Providers

Other providers in the same ZIP code as Tender Care Pediatric Services, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Teamselect Home Care Of Colorado, LLC	CO	Home Health Agency	$0	$30.4M
Poudre Valley Medical Group, LLC	CO	General Practice Physician	$0	$14.9M
North Colorado Medical Center	CO	General Acute Care Hospital	$0	$8.2M
Poudre Valley Medical Group, LLC	CO	General Practice Physician	$0	$8M
Summit Pathology	CO	Clinical Medical Laboratory	$670.1K	$4.3M
Medical Center Of The Rockies	CO	General Acute Care Hospital	$0	$4.8M
Ryan Wolf	CO	Physician Assistant	$4.6M	$0
Thompson Valley Emergency Medical Services Inc	CO	Land Ambulance	$1.1M	$3.3M
Summit Pathology	CO	Anatomic Pathology & Clinical Pathology Physician	$0	$4.4M
Kidstuff Child & Family Counseling, P.C.	CO	Professional Counselor	$0	$4.2M

Tender Care Pediatric Services, Inc — Billing Profile & Reimbursement Data

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Tender Care Pediatric Services, Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References