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    OpenPayerNPI Medicare & MedicaidMedsource Mobility LLC
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    Medsource Mobility LLC — Billing Profile & Reimbursement Data

    NPI 1326288713 · Sandy, UT · Durable Medical Equipment & Medical Supplies

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    Medsource Mobility LLC is a durable medical equipment & medical supplies provider located in Sandy, Utah. This profile covers 0 Medicare and 24 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
    OrganizationMedsource Mobility LLC
    Address10520 S 700 E Ste 209
    CitySandy
    StateUT
    ZIP84070
    TaxonomyDurable Medical Equipment & Medical Supplies
    NPI EnumeratedFebruary 25, 2009

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

    Payer SourceTotal Paid
    Medicaid$581.4K
    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    K0861Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds170$1,370$238.4K
    E1008Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction210$710$147.8K
    E2311Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function…360$170$62.6K
    E1012Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each390$70$26K
    E2313Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each360$70$24.3K
    E2377Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue350$50$16.8K
    E1028Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other1,310$10$13.1K
    K0823Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds530$20$10.6K
    E1007Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction20$470$9.5K
    K0739Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes320$20$7.2K

    Showing 1–10 of 24

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Utah median

    24 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    K0861Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds11090$1,980$185.8K
    E1008Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction110210$710$147.7K
    K0108Wheelchair component or accessory, not otherwise specified610300$90$83.5K
    K0739Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes510300$120$57.4K
    E1028Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other210510$60$42K
    K0004High strength, lightweight wheelchair410350$50$39.5K
    E0955Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each210150$110$31.1K
    E2311Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function…11030$240$26.1K
    K0001Standard wheelchair1520540$20$24.6K
    E1012Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each11030$100$12.4K

    Showing 1–10 of 24

    Nearby Providers

    Other providers in the same ZIP code as Medsource Mobility LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maxim Healthcare Services, Inc.UTHome Health Agency$0$12.9M
    Canyons School DistrictUTLocal Education Agency (LEA)$0$4.8M
    Hope And Healing Child And Family CounselingUTAdolescent and Children Mental Health Clinic/Center$0$4.3M
    Sandy City CorpUTLand Ambulance$219.8K$2.7M
    Collective Recovery, IncUTSubstance Abuse Rehabilitation Facility$0$2.9M
    Anderson Wellness Group LLCUTPsychiatric/Mental Health Nurse Practitioner$0$1.8M
    Froerer Counseling ServicesUTProfessional Counselor$0$1.4M
    Prn Medical Services, LLCUTDurable Medical Equipment & Medical Supplies$0$1.3M
    Suncrest Hospice Utah LLCUTCommunity Based Hospice Care Agency$0$703.5K
    Michelle GreeneUTClinical Social Worker$17.6K$481.5K

    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. Utah Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Utah Distribution
    Medsource Mobility LLC — 9 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah