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    OpenPayerNPI Medicare & MedicaidOne Source Medical Group LLC
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    One Source Medical Group LLC — Billing Profile & Reimbursement Data

    NPI 1366653545 · Tampa, FL · Durable Medical Equipment & Medical Supplies

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    One Source Medical Group LLC is a durable medical equipment & medical supplies provider located in Tampa, Florida. This profile covers 0 Medicare and 88 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
    OrganizationOne Source Medical Group LLC
    Address13910 Lynmar Blvd
    CityTampa
    StateFL
    ZIP33626
    TaxonomyDurable Medical Equipment & Medical Supplies
    NPI EnumeratedMay 27, 2007

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

    Payer SourceTotal Paid
    Medicaid$66.7M
    Medicare$0

    Key Findings

    ONE SOURCE MEDICAL GROUP LLC is effectively a single-payer Medicaid supplier: there is no Medicare billing on file and the provider reports $66.7M in lifetime Medicaid revenue. This concentration means Medicaid is the sole recorded source of fee-for-service program revenue for this NPI. The NPI has been enumerated since 2007-05-27 (~19 years ago), indicating long-running participation in the DME market.

    Revenue is highly concentrated in a small set of product lines: the precomputed top 3 Medicaid codes account for 51.7% of this provider's total Medicaid revenue. Those top codes are A9276 (58.2K claims, $349 avg paid/claim, $20.3M revenue (31.9% of this provider's total Medicaid revenue)), A9274 (16.8K claims, $466 avg paid/claim, $7.8M revenue (12.3% of this provider's total Medicaid revenue)), and B4161 (5.1K claims, $929 avg paid/claim, $4.8M revenue (7.5% of this provider's total Medicaid revenue)).

    The code mix and top revenue drivers identify a clear service-line emphasis on diabetes management DME and durable consumables: A9276 (sensor for interstitial CGM), A9274 (external ambulatory insulin delivery systems), A9277/A9278 (CGM transmitter/receiver), E0784 (external ambulatory infusion pump, insulin), and A4230/A4232 (insulin pump infusion sets/syringes) together make up the largest share of revenues. The presence of A4253 (blood glucose test strips, 22.3K claims, $1.7M revenue) and high-volume infusion-set codes supports the interpretation that this provider operates at scale in outpatient diabetes device distribution and supply.

    ONE SOURCE shows a strong competitive standing in state-level diabetes DME markets but is not uniformly dominant: A9276 is $20.3M in revenue and ranks #3 of 15 providers in-state (86th percentile; typical, unremarkable volume for this code), A9274 ranks #2 of 6 (80th percentile), A4230 ranks #2 of 10 (89th percentile), and E0784 ranks #3 of 8 (71th percentile). These rankings indicate the provider is a leading regional supplier for several diabetes-related codes—often near the top of state peer lists—without always holding the single highest market share.

    Enteral nutrition is a secondary business line with material contribution: B4161 (enteral formula, pediatrics hydrolyzed/amino acid) generated $4.8M (5.1K claims) and B4160 (nutritionally complete, calorically dense) contributed $2.6M (13.5K claims) and ranks #2 of 54 providers in-state (98th percentile; notably above typical state volume for this code). This pattern shows the provider supplies significant pediatric enteral nutrition alongside its diabetes portfolio, signaling multi-line DME operations rather than a one-product focus.

    Several supply and miscellaneous DME codes are extreme outliers or notably above typical state volume, suggesting unusually high throughput in certain consumables and catalog items. A6257 (transparent film) ranks #1 of 17 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), and E1399 (DME, miscellaneous) ranks #1 of 45 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code). Additional codes such as B4160 (98th percentile), A9900 (95th percentile; notably above typical), and T4534 (98th percentile; notably above typical) further evidence concentrations in specific supply categories.

    Pediatric and continence supplies form an important adjunct to the diabetes and enteral lines: T4534 (youth disposable incontinence product) generated $1.1M and ranks #2 of 44 in-state (98th percentile; notably above typical state volume), while other pediatric briefs and barrier products (T4530, A5120, A4245) appear throughout the top-25 list. The combination of high ranks across pediatric incontinence, barrier, and enteral codes indicates substantial business serving pediatric and special-needs populations, not solely adult diabetes care.

    The combination of long tenure (NPI enumerated 2007-05-27 (~19 years ago)), strong Medicaid dependence ($66.7M with no Medicare billing on file), and concentrated revenue in a few high-value codes (top 3 = 51.7% of Medicaid revenue) implies both operational specialization and exposure. For payers and analysts, this profile suggests the provider is a mature, regionally important DME supplier focused on diabetes and pediatric enteral/consumable supplies, with business risk concentrated in Medicaid reimbursement and a small set of sku/code lines.

    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.

    88 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A9276Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply58,220$350$20.3M
    A9274External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories16,800$470$7.8M
    B4161Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…5,120$930$4.8M
    A9277Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system9,150$520$4.7M
    E0784External ambulatory infusion pump, insulin1,560$3,020$4.7M
    A4230Infusion set for external insulin pump, non needle cannula type26,640$170$4.6M
    B4160Enteral 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,…13,540$190$2.6M
    A9278Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system3,750$510$1.9M
    A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips22,340$80$1.7M
    A4232Syringe with needle for external insulin pump, sterile, 3 cc26,560$60$1.5M

    Showing 1–10 of 88

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Florida median

    88 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A9276Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply32012,210$350$13.5M
    E0784External ambulatory infusion pump, insulin310530$470$6.1M
    A9277Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system4103,650$500$3.8M
    A9274External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories21010,000$400$3.7M
    A4230Infusion set for external insulin pump, non needle cannula type2104,750$130$3.3M
    B4161Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…6301,790$670$1.8M
    A9278Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system3102,110$450$1.3M
    A4232Syringe with needle for external insulin pump, sterile, 3 cc2105,160$30$957.4K
    A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service1240620$60$956K
    E1399Durable medical equipment, miscellaneous150420$790$880.5K

    Showing 1–10 of 88

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with One Source Medical Group LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    One Source Medical Group LLCTXDurable Medical Equipment & Medical Supplies$0$12.6M

    Nearby Providers

    Other providers in the same ZIP code as One Source Medical Group LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tampa Childrens Surgery Center LLCFLAmbulatory Surgical Clinic/Center$0$30.7M
    Vra Enterprises, LLCFLCommunity/Retail Pharmacy$26.6M$4.5K
    Mallory SussmanFLFamily Nurse Practitioner$485.6K$0
    Kristi HarrinFLClinical Psychologist$138.5K$0
    Thomas ReillyFLPain Medicine (Physical Medicine & Rehabilitation) Physician$126.7K$0
    Marcus ParkerFLDiagnostic Radiology Physician$111.6K$0
    Melisssa RosenbergFLPhysical Therapist$75.3K$0
    Mindy LangweilFLNurse Practitioner$18.9K$0
    Kenneth BoccaccioFLPhysician Assistant$5.5K$0

    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. Florida Providers
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    One Source Medical Group LLC — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida