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.

Rocky Mountain Medical Equipment, Inc. (NPI 1376530220)

Field	Value
Entity Type	Organization
Organization	Rocky Mountain Medical Equipment, Inc.
Address	3245 S Wadsworth Blvd
City	Lakewood
State	CO
ZIP	80227
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	October 4, 2005

Payer Source	Total Paid
Medicaid	$26.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

83 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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,…	7,570	$350	$2.6M
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	6,290	$420	$2.6M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	10,170	$240	$2.4M
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…	3,370	$680	$2.3M
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	3,740	$350	$1.3M
B4154	Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or…	5,550	$210	$1.1M
A4554	Disposable underpads, all sizes	25,580	$40	$920.8K
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	5,690	$150	$876.3K
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	5,870	$140	$821.7K
E0601	Continuous positive airway pressure (CPAP) device	10,240	$80	$819.1K

Showing 1–10 of 83

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

Rocky Mountain Medical Equipment, 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

83 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…	4	10	1,430	$720	$3.4M
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,…	3	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	3	20	2,840	$230	$1.8M
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	3,920	$450	$1.6M
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	3	10	1,400	$340	$1.4M
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	3	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…	10	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	80	140	7,200	$60	$1.1M
B9998	Noc for enteral supplies	4	10	4,710	$80	$1M
K0108	Wheelchair component or accessory, not otherwise specified	8	10	990	$270	$1M

Showing 1–10 of 83

Nearby Providers

Other providers in the same ZIP code as Rocky Mountain Medical Equipment, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spectra Human Services, Inc.	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$94M
Integrated Life Choices	CO	Developmentally Disabled Services Day Training Agency	$0	$16.3M
Rocky Mountain Gastroenterology Associates, PLLC	CO	Gastroenterology Physician	$0	$3.7M
Hall Medical, LLC	CO	Family Medicine Physician	$0	$3.6M
David Hurt	CO	Dermatology Physician	$285.5K	$0
Michaela Mcdonnell	CO	Dermatology Physician	$188.3K	$0
Kelly Richardson	CO	Family Nurse Practitioner	$77.3K	$0
Kyle Odvody	CO	Family Nurse Practitioner	$68.2K	$0
Mary Brady	CO	MOHS-Micrographic Surgery Physician	$59.3K	$0
Christian Jones	CO	Physical Therapist	$24.2K	$0

Rocky Mountain Medical Equipment, Inc. — Billing Profile & Reimbursement Data

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Rocky Mountain Medical Equipment, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References