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

Why is the Medicaid comparison limited to New York 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. New York (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.

Champlain Valley Brace And Limb, L.L.C. (NPI 1447474010)

Field	Value
Entity Type	Organization
Organization	Champlain Valley Brace And Limb, L.L.C.
Address	762 State Route 3
City	Plattsburgh
State	NY
ZIP	12901
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	April 12, 2007

Payer Source	Total Paid
Medicaid	$21M
Medicare	$0

Medicaid: Complete Services Breakdown

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

57 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	31,800	$90	$2.7M
A4554	Disposable underpads, all sizes	73,000	$30	$2.5M
T4522	Adult sized disposable incontinence product, brief/diaper, medium, each	35,860	$70	$2.5M
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	71,720	$30	$2.3M
T4524	Adult sized disposable incontinence product, brief/diaper, extra large, each	19,140	$90	$1.7M
T4537	Incontinence product, protective underpad, reusable, bed size, each	55,470	$30	$1.6M
T4533	Youth sized disposable incontinence product, brief/diaper, each	24,010	$70	$1.6M
T4521	Adult sized disposable incontinence product, brief/diaper, small, each	15,330	$80	$1.2M
T4530	Pediatric sized disposable incontinence product, brief/diaper, large size, each	13,870	$70	$998.6K
T4543	Adult sized disposable incontinence product, protective brief/diaper, above extra large, each	5,690	$150	$864.6K

Showing 1–10 of 57

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New York Distribution

Champlain Valley Brace And Limb, L.L.C. — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York median

57 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A4554	Disposable underpads, all sizes	12	270	1,960	$40	$584.4K
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	11	220	1,050	$80	$575.4K
T4543	Adult sized disposable incontinence product, protective brief/diaper, above extra large, each	12	60	850	$160	$522K
E0603	Breast pump, electric (ac and/or dc), any type	48	50	1,060	$150	$514K
T4524	Adult sized disposable incontinence product, brief/diaper, extra large, each	11	170	1,490	$90	$464.5K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	11	200	2,660	$30	$442.1K
T4522	Adult sized disposable incontinence product, brief/diaper, medium, each	11	200	960	$50	$417K
A4353	Intermittent urinary catheter, with insertion supplies	13	10	70	$300	$330.5K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	3	10	890	$60	$308.4K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	3	10	770	$60	$278.1K

Showing 1–10 of 57

Related Providers

Other providers that share a Tax Identification Number (TIN) with Champlain Valley Brace And Limb, L.L.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Diabetes Supply Center Of The Midlands LLC	NE	Durable Medical Equipment & Medical Supplies	$0	$40.7M

Nearby Providers

Other providers in the same ZIP code as Champlain Valley Brace And Limb, L.L.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Champlain Valley Physicians Hospital Medical Center	NY	General Acute Care Hospital	$0	$35.9M
Roy Arogyasami	NY	Ophthalmology Physician	$4.7M	$1.1M
Surgical Pain Center Of The Adirondacks, LLC	NY	Ambulatory Surgical Clinic/Center	$930K	$225.6K
Plattsburgh Asc LLC	NY	Ambulatory Surgical Clinic/Center	$623.9K	$21.1K
Craig Hurwitz	NY	Nephrology Physician	$445K	$178.5K
Joseph Rini	NY	Ophthalmology Physician	$543K	$51.2K
Champlain Toxicology Lab, LLC	NY	Clinical Medical Laboratory	$228.2K	$269K
Afterhours Imaging, LLC	NY	Diagnostic Radiology Physician	$371.4K	$16.4K
Walgreen Co	NY	Pharmacy	$330.9K	$0
Richard Webber	NY	Internal Medicine Physician	$278.6K	$10.6K

Champlain Valley Brace And Limb, L.L.C. — Billing Profile & Reimbursement Data

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Champlain Valley Brace And Limb, L.L.C. — 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