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NPI 1457310492 · Noblesville, IN · Durable Medical Equipment & Medical Supplies
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Orthodynamics Company, Inc. is a durable medical equipment & medical supplies provider located in Noblesville, Indiana. This profile covers 6 Medicare and 13 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Orthodynamics Company, Inc. |
| Address | 155 Carey Dr |
| City | Noblesville |
| State | IN |
| ZIP | 46060 |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| NPI Enumerated | March 20, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $8.1M |
| Medicare | $5.1M |
ORTHODYNAMICS COMPANY, INC. presents as a specialized durable medical equipment supplier focused on ventricular assist device (VAD) accessories and related DME lines: its top Medicare and Medicaid revenue drivers are Q0508 and Q0509 (VAD accessories), and Medicaid revenue also includes a large contribution from E1399 (Durable medical equipment, miscellaneous). The provider taxonomy (Durable Medical Equipment & Medical Supplies) aligns with this product mix, indicating an operational focus on high-cost device accessories rather than broad DME categories.
Revenue is highly concentrated by code within each payer: the top 3 Medicare codes account for 98.9% of Medicare revenue and the top 3 Medicaid codes account for 99.5% of Medicaid revenue. This concentration is driven primarily by Q0508 ($3.5M, 70.3% of Medicare revenue) and Q0509 ($1.4M, 27.4% of Medicare revenue) on Medicare, and by Q0508 ($4.4M, 54.2%), E1399 ($3M, 37.1%), and Q0509 ($657.1K, 8.2%) on Medicaid.
On payer mix and scale, this provider reports $5.1M in lifetime Medicare revenue and $8.1M in lifetime Medicaid revenue, so Medicaid revenue exceeds Medicare revenue in absolute terms. Both payers matter to the business, but Medicaid is the larger revenue source overall based on the reported totals.
National competitive standing on Medicare for the primary VAD codes is modest: Q0508 ranks #6 of 8 providers nationally (29th percentile) and Q0509 ranks #5 of 6 (20th percentile), both described as "typical, unremarkable volume for this code." Even though Q0508 and Q0509 together drive nearly all Medicare revenue, the provider does not appear to be a high-volume national leader for those codes.
In-state competitive dynamics for Medicaid show the provider as the sole reported filer for key VAD accessory codes: Q0508 and Q0509 each rank #1 of 1 providers in-state with a note of "no state peer volume comparison available." That makes ORTHODYNAMICS the only in-state Medicaid reporter for those VAD accessory codes in the available dataset, while E1399 is more conventionally competitive at rank #6 of 17 in-state (69th percentile).
The provider reports ancillary services and products at much smaller scale: home INR monitoring material G0249 appears on both payers but represents a minor share (Medicare G0249 $44K, 0.9% of Medicare revenue; Medicaid G0249 $28.8K, 0.4% of Medicaid revenue). The presence of G0249 and related codes suggests the organization supplies anticoagulation testing materials and training in addition to VAD accessories, but these lines are not major revenue drivers.
Reimbursement patterns vary visibly between payers for the same code: Q0508 shows an average paid/claim of $1805 on Medicare versus $948 on Medicaid, and Q0509 average paid/claim is $1801 on Medicare versus $290 on Medicaid. These differences reflect material payer rate variation for the high-revenue items that dominate the provider's portfolio and should be considered when modeling margin or contract negotiations.
The provider has a long tenure in the Medicare/Medicaid ecosystem with NPI enumeration dated 2006-03-20 (~20 years ago), indicating multi-year operational history supporting these specialized supply lines. This longevity, combined with being the only in-state Medicaid reporter for several VAD accessory codes, suggests an established niche position regionally even if national Medicare volumes are modest.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| Q0508 | Miscellaneous supply or accessory for use with an implanted ventricular assist device | 1,970 | $1,810 | $3.5M |
| Q0509 | Miscellaneous supply or accessory for use with any implanted ventricular assist device for which payment was not made under medicare part a | 770 | $1,800 | $1.4M |
| Q0506 | Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only | 90 | $760 | $64.3K |
| G0249 | Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage… | 1,000 | $40 | $44K |
| Q0498 | Holster for use with electric or electric/pneumatic ventricular assist device, replacement only | 10 | $460 | $5.9K |
| G0248 | Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage… | 70 | $60 | $4.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| Q0508 | Miscellaneous supply or accessory for use with an implanted ventricular assist device | 4,610 | $950 | $4.4M |
| E1399 | Durable medical equipment, miscellaneous | 2,540 | $1,180 | $3M |
| Q0509 | Miscellaneous supply or accessory for use with any implanted ventricular assist device for which payment was not made under medicare part a | 2,270 | $290 | $657.1K |
| G0249 | Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage… | 2,220 | $10 | $28.8K |
| A5200 | Percutaneous catheter/tube anchoring device, adhesive skin attachment | 270 | $40 | $11.2K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 160 | $20 | $2.5K |
| A4248 | Chlorhexidine containing antiseptic, 1 ml | 20 | $80 | $1.2K |
| A4927 | Gloves, non-sterile, per 100 | 30 | $10 | $210 |
| A6258 | Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing | 20 | $10 | $210 |
| A4930 | Gloves, sterile, per pair | 20 | $10 | $120 |
Showing 1–10 of 13
How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Indiana median
13 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| Q0508 | Miscellaneous supply or accessory for use with an implanted ventricular assist device | 1 | 10 | 4,610 | $950 | $4.4M |
| E1399 | Durable medical equipment, miscellaneous | 6 | 20 | 660 | $450 | $1.2M |
| Q0509 | Miscellaneous supply or accessory for use with any implanted ventricular assist device for which payment was not made under medicare part a | 1 | 10 | 2,270 | $290 | $656.4K |
| G0249 | Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage… | 2 | 10 | 4,820 | $10 | $52.4K |
| A4927 | Gloves, non-sterile, per 100 | 10 | 10 | 1,000 | $20 | $31.4K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 14 | 20 | 320 | $10 | $28.9K |
| A5200 | Percutaneous catheter/tube anchoring device, adhesive skin attachment | 1 | 10 | 270 | $40 | $11.2K |
| A6258 | Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing | 2 | 10 | 50 | $90 | $4.5K |
| A4450 | Tape, non-waterproof, per 18 square inches | 9 | 10 | 920 | $1 | $3.5K |
| A4248 | Chlorhexidine containing antiseptic, 1 ml | 1 | 10 | 20 | $80 | $1.2K |
Showing 1–10 of 13
Other providers in the same ZIP code as Orthodynamics Company, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Aspire Indiana Inc | IN | Case Manager/Care Coordinator | $0 | $61.7M |
| Opportunities For Positive Growth, Inc | IN | Counselor | $0 | $30.1M |
| Riverview Hospital | IN | Family Medicine Physician | $0 | $9.1M |
| Riverview Hospital | IN | General Acute Care Hospital | $0 | $7.9M |
| Cork Medical LLC | IN | Durable Medical Equipment & Medical Supplies | $0 | $4.6M |
| Rehab Medical, LLC | IN | Customized Equipment (DME) | $0 | $4.4M |
| Pediatric Dentistry Of Noblesville | IN | Pediatric Dentistry | $0 | $2.6M |
| City Of Noblesville | IN | Ambulance | $366.1K | $1.6M |
| Hamilton Surgery Center LLC | IN | Ambulatory Surgical Clinic/Center | $931.1K | $85.8K |
| Kathleen Thomas | IN | Rheumatology Physician | $933.8K | $0 |
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