Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidFifty 50 Medical LLC
    Ask Trek AI about this page

    Fifty 50 Medical LLC — Billing Profile & Reimbursement Data

    NPI 1376797704 · Coppell, TX · Durable Medical Equipment & Medical Supplies

    Customize your policy alerts

    Sign up for Fifty 50 Medical LLC — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Fifty 50 Medical LLC is a durable medical equipment & medical supplies provider located in Coppell, Texas. This profile covers 0 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 7

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationFifty 50 Medical LLC
    Address1411 E Sandy Lake Rd Ste 120
    CityCoppell
    StateTX
    ZIP75019
    TaxonomyDurable Medical Equipment & Medical Supplies
    NPI EnumeratedNovember 12, 2008

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

    Payer SourceTotal Paid
    Medicaid$54.7M
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    K0553Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service41,170$580$23.7M
    A9274External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories37,020$530$19.6M
    A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service26,820$240$6.5M
    A6258Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing21,080$60$1.3M
    K0554Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system2,600$430$1.1M
    E0784External ambulatory infusion pump, insulin2,010$360$728K
    A4230Infusion set for external insulin pump, non needle cannula type4,460$130$598K
    A4238Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service2,120$220$470.9K
    E2103Non‑adjunctive, non‑implanted continuous glucose monitor or receiver1,300$260$342.9K
    A9276Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply630$220$138.8K

    Showing 1–10 of 15

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Texas median

    15 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A9274External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories110810$500$4M
    K0553Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service2302,590$240$1.9M
    A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service3303,080$150$1.3M
    A4238Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service210870$210$568.1K
    E0784External ambulatory infusion pump, insulin210740$560$567.1K
    A4230Infusion set for external insulin pump, non needle cannula type4103,300$120$507K
    A9276Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply510190$310$179.2K
    A4232Syringe with needle for external insulin pump, sterile, 3 cc4103,860$30$161.7K
    K0554Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system220310$150$132.6K
    A6258Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing11070$50$116.2K

    Showing 1–10 of 15

    Nearby Providers

    Other providers in the same ZIP code as Fifty 50 Medical LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Inform Diagnostics, Inc.TXAnatomic Pathology & Clinical Pathology Physician$10.9M$15.9M
    Biodx LabsTXClinical Medical Laboratory$15.1M$1.9M
    Sterling Ems, LLCTXAmbulance$587.6K$1.3M
    Pathologists Bio-medical Laboratories PLLCTXClinical Medical Laboratory$1.1M$80K
    Lavanya BodduTXEmergency Medicine Physician$41.9K$511.6K
    Steven SwaldiTXFamily Medicine Physician$122.8K$0
    Diana CoxseyTXFamily Medicine Physician$79.2K$0
    Priyanka ChaudhryTXNeurology Physician$23.7K$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. Texas Providers
    5 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Texas Distribution
    Fifty 50 Medical LLC — 3 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas