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

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

J&b Medical Supply Co Inc (NPI 1417941774)

Field	Value
Entity Type	Organization
Organization	J&b Medical Supply Co Inc
Address	50496 W. Pontiac Trl
City	Wixom
State	MI
ZIP	48393
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	September 1, 2005

Payer Source	Total Paid
Medicaid	$339.6M
Medicare	$0

Key Findings

Payer mix: J&B MEDICAL SUPPLY CO INC is effectively a Medicaid-focused supplier with $339.6M in lifetime Medicaid revenue and no Medicare billing on file; this makes the provider functionally single-payer in scale and exposes its topline to state Medicaid policy, reimbursement, and network decisions rather than to dual-payer dynamics. Analysts should treat Medicare influence as nil when modeling revenue sensitivity or payer negotiations for this entity.

Tenure and market presence: The NPI was enumerated on 2005-09-01 (~21 years ago), indicating the business has an extended operating history and likely established supplier and distribution relationships in-state. That longevity supports capacity to handle large, sustained claim volumes evident in the Medicaid data.

Business/service-line implications — continence and consumables focus: The provider’s top revenue-driving codes are dominated by disposable incontinence products (many T45xx codes such as T4534 $24.8M, T4526 $22.8M, T4527 $21.7M and T4535 $21.3M) and related consumables, which indicates a core business model centered on high-volume, unit-priced DME supplies for incontinence care. This code mix suggests operational emphasis on high-throughput warehousing, frequent small-unit fulfillment, and payer contracting for ongoing consumable distribution rather than episodic durable equipment sales.

Revenue concentration: The top three Medicaid codes account for 24.2% of the provider’s total Medicaid revenue, with the leading codes A4927 $26.8M (8.7%), T4534 $24.8M (8.1%), and T4526 $22.8M (7.4%) driving a substantial share of revenue. This level of concentration means changes in reimbursement, prior authorization rules, or utilization for even a few codes could materially affect the provider’s Medicaid revenue.

Competitive standing in-state — dominant on multiple codes: J&B ranks #1 statewide for a large cluster of lines (e.g., A4927 ranks #1 of 29 providers at the 100th percentile and is described as an extreme outlier; T4534, T4526, T4527, T4535, T4528, T4541 and others also rank #1 and are characterized as notably above typical state volume). These consistent top-rank and 100th-percentile placements indicate the provider is a dominant market participant in Michigan for incontinence products and several related supply categories.

Cross-category scale and logistics implications: Very large claim counts for individual codes (for example A4927 1.8M claims, T4541 1.1M claims, T4535 759.1K claims) together with multi-million dollar revenues imply substantial distribution and fulfillment capacity to support high-frequency deliveries. Operationally, that suggests investments in inventory turnover, billing throughput, and claims management infrastructure to sustain these volumes.

Presence in diabetes/CGM and infusion supplies: Beyond continence, the provider reports meaningful revenue in diabetes supplies and infusion devices — notable examples include A9276 $16.8M (CGM sensors) ranked #1 of 7, K0553 $11.7M (supply allowance for therapeutic CGM) ranked #3 of 21, A4230 $8.6M and A4253 $5.5M (test strips) ranked #1 of 112 and labeled an extreme outlier. This pattern shows diversification within DME toward ongoing consumable supplies for chronic diabetes management as well as related durable accessories, strengthening recurring-revenue characteristics.

Statistical outliers and diversification risk profile: Several codes show extreme outlier status or notably above-typical volumes (for example A4927 extreme outlier; A4351 and A4253 are also described as extreme outliers), indicating J&B holds outsized share in multiple discrete product niches. While this dominance supports margin and negotiating leverage with manufacturers and payers for those codes, it also concentrates the business in categories where policy or supplier disruptions could have outsized impact, so payers should monitor utilization and program changes in those specific lines.

Medicaid: Complete Services Breakdown

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

142 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A4927	Gloves, non-sterile, per 100	1,787,190	$20	$26.8M
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	344,110	$70	$24.8M
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	380,820	$60	$22.8M
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	344,190	$60	$21.7M
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	759,120	$30	$21.3M
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	271,080	$70	$20.1M
T4541	Incontinence product, disposable underpad, large, each	1,125,870	$20	$19.1M
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	65,680	$260	$16.8M
T4533	Youth sized disposable incontinence product, brief/diaper, each	185,710	$70	$12.4M
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	48,470	$240	$11.7M

Showing 1–10 of 142

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Michigan Distribution

J&b Medical Supply Co Inc — 16 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. Michigan median

142 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A4554	Disposable underpads, all sizes	2	10	284,090	$30	$8.7M
T2028	Specialized supply, not otherwise specified, waiver	3	10	1,390	$120	$7.5M
T4537	Incontinence product, protective underpad, reusable, bed size, each	2	10	213,830	$30	$7.2M
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	23,610	$290	$6.6M
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	2	10	99,530	$60	$6.4M
E0784	External ambulatory infusion pump, insulin	3	10	2,940	$1,630	$5.5M
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	1	10	13,950	$60	$5.3M
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	1	10	13,660	$50	$4.9M
T4522	Adult sized disposable incontinence product, brief/diaper, medium, each	2	10	66,430	$50	$4.5M
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	1	10	4,910	$70	$4.4M

Showing 1–10 of 142

Related Providers

Other providers that share a Tax Identification Number (TIN) with J&b Medical Supply Co Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
J & B Medical Supply Co Inc	MI	Durable Medical Equipment & Medical Supplies	$0	$85.8M

Nearby Providers

Other providers in the same ZIP code as J&b Medical Supply Co Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Courtyard Manor Of Wixom	MI	Assisted Living Facility (Mental Illness)	$0	$31M
Progressive Lifestyle Inc	MI	Community/Behavioral Health Agency	$0	$6.3M
Chitra Asher	MI	Family Medicine Physician	$6.3K	$0

J&b Medical Supply Co Inc — Billing Profile & Reimbursement Data

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J&b Medical Supply Co 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

Related Providers

Nearby Providers

Frequently Asked Questions

References