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

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

Byram Healthcare Centers, Inc. (NPI 1427139641)

Field	Value
Entity Type	Organization
Organization	Byram Healthcare Centers, Inc.
Address	185 Plains Rd
City	Milford
State	CT
ZIP	06461
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	October 17, 2006

Payer Source	Total Paid
Medicaid	$30.2M
Medicare	$0

Key Findings

BYRAM HEALTHCARE CENTERS, INC. shows no Medicare billing on file and is effectively a Medicaid-focused Durable Medical Equipment & Medical Supplies provider, with lifetime Medicaid revenue of $30.2M. The absence of Medicare activity combined with a substantial Medicaid revenue base indicates a single-payer operational footprint at scale within Connecticut's Medicaid program. The provider's NPI was enumerated on 2006-10-17 (~20 years ago), which supports that this is an established operation rather than a recent entrant.

Revenue is concentrated in a small set of Medicaid codes: the precomputed top three Medicaid codes account for 28.8% of this provider’s total Medicaid revenue. The top three contributors are A6197 ($2.5M, 11.3%), A4351 ($2M, 9.1%), and T4541 ($1.9M, 8.4%), collectively representing the largest single share of reported Medicaid receipts. This concentration suggests that a relatively small number of product lines meaningfully drive overall revenue.

The code mix points to a business model concentrated on continence care, catheter supplies, wound care dressings, and ostomy products. High volumes and revenues for T4541, T4527, T4528, T4526, and T4535 indicate a heavy focus on disposable incontinence products; significant receipts for A4351 and related catheter codes show a substantive intermittent catheter supply line; and multiple A62xx and A61xx codes (e.g., A6212, A6213, A6210, A6197, A6196, A6021) indicate an active wound-dressing and ostomy supply business. The presence of E0784 and A4230 also shows some diabetic infusion pump and accessory activity.

BYRAM is a dominant statewide supplier for many of its top Medicaid codes. It ranks #1 in-state for A6197, A4351, T4541, A6212, T4527, T4528, T4526, T4535, A4385, T4523, A6213, A6210, T4522, , and several others, frequently at the 100th percentile. For multiple incontinence and related product codes the data label is “extreme outlier, far above typical state volume,” which signals market-leading distribution levels in Connecticut for those product lines.

While several wound and ostomy codes are also top contributors, their peer comparisons vary: some wound/ostomy items rank #1 in-state with “typical, unremarkable volume” (e.g., A6197) or have no state peer comparison available (e.g., A6021, A4409, A4407). This pattern suggests BYRAM combines dominant incontinence distribution with a sizeable, sometimes unique, offering of wound and ostomy supplies where state-level competition is limited or not comparable.

Intermittent catheter lines show mixed competitive dynamics: A4351 is a high-volume, high-revenue line for BYRAM ($2M, 9.1%) where it ranks #1 of 7 providers in-state and is described as “notably above typical state volume,” while higher-cost catheter items such as A4353 and A4352 appear in more competitive positions (A4353 ranks #2 of 3, 50th percentile; A4352 ranks #2 of 3, 50th percentile). This suggests BYRAM leads on mainstream straight-tip catheter volume but faces closer competition for catheter variants and insertion-supply bundles.

Overall, the combination of long tenure (NPI enumerated 2006-10-17 (~20 years ago)), concentrated revenue capture (top three codes = 28.8%), and repeated #1 statewide rankings across incontinence, catheter and wound/ostomy categories paints BYRAM as an established, Medicaid-centric DME supplier with particular dominance in disposable incontinence products and strong market positions in several wound and ostomy lines. Analysts evaluating network participation, contract negotiations, or utilization management should consider BYRAM’s outsized role in Connecticut Medicaid for continence and related DME product categories.

Medicaid: Complete Services Breakdown

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

134 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A6197	Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing	11,490	$220	$2.5M
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	9,140	$220	$2M
T4541	Incontinence product, disposable underpad, large, each	44,490	$40	$1.9M
A6212	Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing	13,050	$130	$1.6M
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	13,440	$90	$1.2M
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	10,670	$100	$1M
A4353	Intermittent urinary catheter, with insertion supplies	1,560	$650	$1M
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	11,790	$80	$966.8K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	18,910	$50	$869.9K
A4385	Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each	10,510	$80	$798.4K

Showing 1–10 of 134

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

Byram Healthcare Centers, Inc. — 18 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

134 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	2	10	2,010	$310	$3.2M
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	2	10	7,160	$420	$3M
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	3	10	1,220	$210	$2.3M
A4230	Infusion set for external insulin pump, non needle cannula type	2	10	3,290	$250	$1.9M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	9	10	860	$180	$1.1M
A6197	Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing	1	10	1,160	$210	$905.9K
A4353	Intermittent urinary catheter, with insertion supplies	2	10	1,560	$480	$904.9K
E1399	Durable medical equipment, miscellaneous	6	10	410	$780	$816.1K
E0603	Breast pump, electric (ac and/or dc), any type	5	10	750	$110	$769.8K
A6021	Collagen dressing, sterile, size 16 sq. in. or less, each	1	10	2,990	$240	$709.9K

Showing 1–10 of 134

Related Providers

Other providers that share a Tax Identification Number (TIN) with Byram Healthcare Centers, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Byram Healthcare Centers, Inc.	CA	Pharmacy	$0	$271.4M
Byram Healthcare Centers, Inc.	IL	Durable Medical Equipment & Medical Supplies	$0	$142.4M
Byram Healthcare Centers, Inc.	OR	Durable Medical Equipment & Medical Supplies	$0	$123.8M
Byram Healthcare Centers, Inc.	NY	Durable Medical Equipment & Medical Supplies	$0	$106.3M
Byram Healthcare Centers, Inc.	WA	Durable Medical Equipment & Medical Supplies	$0	$92.8M
Byram Healthcare Centers, Inc.	TN	Durable Medical Equipment & Medical Supplies	$0	$44.3M
Byram Healthcare Centers, Inc	MA	Durable Medical Equipment & Medical Supplies	$0	$25.2M
Byram Healthcare Centers, Inc.	CO	Durable Medical Equipment & Medical Supplies	$0	$17.4M
Byram Healthcare Centers, Inc.	GA	Durable Medical Equipment & Medical Supplies	$0	$13.3M
Byram Healthcare Centers, Inc.	OH	Durable Medical Equipment & Medical Supplies	$0	$11.5M

Nearby Providers

Other providers in the same ZIP code as Byram Healthcare Centers, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Boys & Girls Village	CT	Adolescent and Children Mental Health Clinic/Center	$0	$15.4M
Yale New Haven Health At Home, Inc.	CT	Home Health Agency	$0	$8.4M
Connecticut Eye Surgery Center South LLC	CT	Ophthalmologic Surgery Clinic/Center	$1.9M	$516.1K
Sunrise Therapy Services LLC	CT	Marriage & Family Therapist	$0	$1M
Nelson Leach	CT	Family Nurse Practitioner	$254.3K	$0
Mae Mae Mirabelli	CT	Diagnostic Radiology Physician	$165.6K	$29.6K
Connecticut Orthopaedic Surgery Center, LLC	CT	Ambulatory Surgical Clinic/Center	$165.4K	$0
Gregory Salber	CT	Cardiovascular Disease Physician	$161.3K	$0
Analia Gray	CT	Adult Health Nurse Practitioner	$154.7K	$0
Jennifer Hankenson	CT	Physical Medicine & Rehabilitation Physician	$120.4K	$0

Byram Healthcare Centers, 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