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

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

Premier Kids Care Inc (NPI 1447321674)

Field	Value
Entity Type	Organization
Organization	Premier Kids Care Inc
Address	3148 Park Center Dr
City	Tyler
State	TX
ZIP	75701
Taxonomy	Community/Retail Pharmacy
NPI Enumerated	November 10, 2006

Payer Source	Total Paid
Medicaid	$28.2M
Medicare	$0

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 Code	Description	Claims	Avg Paid	Revenue
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	45,040	$240	$10.9M
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	25,850	$350	$9M
A9274	External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories	8,150	$420	$3.4M
E0784	External ambulatory infusion pump, insulin	2,030	$820	$1.7M
A4230	Infusion set for external insulin pump, non needle cannula type	7,650	$150	$1.2M
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	1,170	$650	$765.2K
E2103	Non‑adjunctive, non‑implanted continuous glucose monitor or receiver	2,310	$220	$511.2K
A4232	Syringe with needle for external insulin pump, sterile, 3 cc	8,570	$40	$334.3K
K0554	Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system	1,290	$250	$320.9K
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	290	$450	$127.3K

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.

Claims Volume vs. Texas Distribution

Premier Kids Care Inc — 2 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9274	External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories	3	10	810	$500	$4M
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	3	30	2,590	$240	$1.9M
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	2	30	3,080	$150	$1.3M
E0784	External ambulatory infusion pump, insulin	1	10	740	$560	$567.1K
A4230	Infusion set for external insulin pump, non needle cannula type	2	10	3,300	$120	$507K
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	190	$310	$179.2K
A4232	Syringe with needle for external insulin pump, sterile, 3 cc	2	10	3,860	$30	$161.7K
K0554	Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system	4	20	310	$150	$132.6K
E2103	Non‑adjunctive, non‑implanted continuous glucose monitor or receiver	2	20	130	$140	$100K
A4231	Infusion set for external insulin pump, needle type	4	10	740	$70	$63.8K

Showing 1–10 of 15

Related Providers

Other providers that share a Tax Identification Number (TIN) with Premier Kids Care Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Premier Kids Care Inc	FL	Community/Retail Pharmacy	$0	$53.1M
Premier Kids Care, Inc.	GA	Community/Retail Pharmacy	$0	$19.6M

Nearby Providers

Other providers in the same ZIP code as Premier Kids Care Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mother Frances Hospital Regional Health Care Center	TX	General Acute Care Hospital	$0	$32.9M
Pediatric Home Healthcare, LLC	TX	Home Health Agency	$0	$23.7M
Thomas Bochow	TX	Ophthalmology Physician	$3.6M	$0
Wendy Prewett	TX	Acute Care Nurse Practitioner	$2.9M	$0
Heaton Laser And Surgery Center L L C	TX	Ambulatory Surgical Clinic/Center	$2.7M	$113K
Angela Sutherland	TX	Nurse Practitioner	$2.3M	$0
Diman Lamichhane	TX	Rheumatology Physician	$2.1M	$0
Trincare Inc	TX	Clinical Medical Laboratory	$539.4K	$1.5M
Speed Of Light Xray, LLC	TX	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$1.3M	$529.8K
Thomas Buzbee	TX	Internal Medicine Physician	$1.5M	$0

Premier Kids Care Inc — Billing Profile & Reimbursement Data

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Premier Kids Care 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

Related Providers

Nearby Providers

Frequently Asked Questions

References