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

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

Collins Pharmacy Inc (NPI 1316903545)

Field	Value
Entity Type	Organization
Organization	Collins Pharmacy Inc
Address	1526 Barnum Ave Ste 1
City	Bridgeport
State	CT
ZIP	06610
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	April 25, 2006

Payer Source	Total Paid
Medicaid	$59.1M
Medicare	$0

Key Findings

COLLINS PHARMACY INC is effectively a Medicaid-focused DME/supplies provider with no Medicare billing on file; its lifetime Medicaid revenue is $59.1M and there is no Medicare revenue to compare, indicating the business operates as a de facto single-payer (Medicaid) supplier in the state market.

Revenue is highly concentrated in a small set of codes: the precomputed top 3 Medicaid codes account for 56.8% of the provider's total Medicaid revenue, which signals reliance on a narrow set of product lines that drive the majority of cash flow.

The top individual Medicaid revenue driver is K0553 (continuous glucose monitor supply allowance) with $15.5M in revenue (26.9% of Medicaid revenue) and 45.7K claims; this positions the firm as a high-volume CGM supplier in Connecticut and indicates core operations centered on diabetes monitoring supplies.

A4239 and A9274 are the other principal revenue contributors, with $10.1M (17.5%) and $7.1M (12.3%) respectively; together with K0553 these three codes make up the 56.8% share and underscore a service line focused on CGM supplies and disposable external insulin delivery systems.

Competitive standing within Connecticut is dominant for multiple product lines: the provider ranks #1 of 5 for K0553 and A4239 (100th percentile), #1 of 1 for A9274 (no state peer comparison available), and is also the top-reporter statewide for several other glucose-monitoring and pump-related codes, indicating market leadership in diabetes DME.

Several incontinence and ancillary supply codes show unusually high state volume positions: codes like T4541 (rank #3 of 51, 96th percentile), T4535 (rank #2 of 40, 97th percentile), and multiple T45xx family codes sit in the mid-90s percentile range, suggesting substantial secondary business in incontinence supplies beyond the dominant diabetes product lines.

A4253 (blood glucose test strips) is marked as an extreme outlier in the state (rank #1 of 361, 100th percentile), with $889.7K revenue and 8.2K claims, which reinforces the firm’s specialization in outpatient diabetes monitoring consumables at volumes far above typical Connecticut providers.

The provider’s NPI was enumerated around 2006-04-25 (approximately 20 years ago), indicating long-standing presence in the market; this tenure combined with dominant state rankings on core DME codes suggests established contracting and distribution relationships within Connecticut Medicaid.

Medicaid: Complete Services Breakdown

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

61 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	45,710	$340	$15.5M
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	42,970	$230	$10.1M
A9274	External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories	11,370	$620	$7.1M
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	14,210	$420	$6M
A4230	Infusion set for external insulin pump, non needle cannula type	18,670	$270	$5.1M
A9999	Miscellaneous dme supply or accessory, not otherwise specified	4,330	$550	$2.4M
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	3,980	$350	$1.4M
T4541	Incontinence product, disposable underpad, large, each	27,030	$40	$1.1M
A4225	Supplies for external insulin infusion pump, syringe type cartridge, sterile, each	19,880	$50	$974K
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	8,160	$110	$889.7K

Showing 1–10 of 61

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

Collins Pharmacy Inc — 14 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

61 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9274	External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories	1	10	11,370	$620	$7.1M
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	1	10	2,010	$310	$3.2M
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	1	10	7,160	$420	$3M
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	1	10	1,220	$210	$2.3M
A4230	Infusion set for external insulin pump, non needle cannula type	1	10	3,290	$250	$1.9M
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	1	10	3,980	$350	$1.4M
A9999	Miscellaneous dme supply or accessory, not otherwise specified	1	10	2,170	$550	$1.2M
E1399	Durable medical equipment, miscellaneous	5	10	410	$780	$816.1K
E0784	External ambulatory infusion pump, insulin	2	10	340	$1,520	$695.7K
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	3	10	70	$170	$438.3K

Showing 1–10 of 61

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bridgeport Hospital	CT	General Acute Care Hospital	$0	$287.1M
Northeast Medical Group, Inc.	CT	Internal Medicine Physician	$0	$59.6M
Liberation Programs Inc	CT	Adult Mental Health Clinic/Center	$274.3K	$17.3M
Quentin Medical Group, LLC	CT	Urgent Care Clinic/Center	$0	$9.3M
Recovery Network Of Programs, Inc	CT	Substance Use Disorder Rehabilitation Hospital Unit	$0	$7.2M
Mgm Family Dental	CT	Dental Clinic/Center	$0	$5.6M
Advanced Cardiovascular Specialists PC	CT	Cardiovascular Disease Physician	$0	$5.4M
Recovery Network Of Programs, Inc.	CT	Community/Behavioral Health Agency	$0	$5.3M
Recovery Network Of Programs, Inc.	CT	Community/Behavioral Health Agency	$0	$4.2M
State Of Connecticut	CT	Psychiatric Hospital	$0	$3.6M

Collins Pharmacy 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