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

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

James Medical Equipment, Ltd. (NPI 1447298666)

Field	Value
Entity Type	Organization
Organization	James Medical Equipment, Ltd.
Address	72 Joe T Petty Dr
City	Russell Springs
State	KY
ZIP	42642
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	June 2, 2006

Payer Source	Total Paid
Medicaid	$3.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

44 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	30,540	$30	$916.2K
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	1,770	$420	$735K
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	1,150	$580	$663K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	18,880	$10	$132.2K
E0601	Continuous positive airway pressure (CPAP) device	3,440	$30	$113.4K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	440	$250	$109.2K
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	1,670	$30	$41.7K
E0570	Nebulizer, with compressor	1,820	$20	$36.4K
K0001	Standard wheelchair	2,560	$10	$35.9K
E0562	Humidifier, heated, used with positive airway pressure device	3,570	$10	$32.1K

Showing 1–10 of 44

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

James Medical Equipment, Ltd. — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

44 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	4	10	1,150	$630	$1.5M
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	22	60	840	$350	$641.2K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	15	20	2,220	$120	$530.7K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	16	160	5,820	$40	$416.1K
E0445	Oximeter device for measuring blood oxygen levels non-invasively	7	10	740	$120	$196K
B9998	Noc for enteral supplies	8	10	1,330	$40	$186.4K
A4605	Tracheal suction catheter, closed system, each	2	10	650	$210	$134.5K
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	9	10	340	$90	$130.1K
A4624	Tracheal suction catheter, any type other than closed system, each	8	10	550	$90	$124.7K
A4606	Oxygen probe for use with oximeter device, replacement	5	10	3,950	$20	$109.9K

Showing 1–10 of 44

Nearby Providers

Other providers in the same ZIP code as James Medical Equipment, Ltd., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lake Cumberland Area Development District	KY	Supports Brokerage Agency	$0	$25.3M
Russell County Hospital	KY	Critical Access Hospital	$0	$20.7M
Freedom Management	KY	Community/Behavioral Health Agency	$0	$13.3M
Acsr, Inc.	KY	Adult Day Care Clinic/Center	$0	$3.5M
Dawn Woodroof	KY	Diagnostic Radiology Physician	$395.2K	$0

James Medical Equipment, Ltd. — Billing Profile & Reimbursement Data

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James Medical Equipment, Ltd. — 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