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

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

Roth Medical Inc (NPI 1457312993)

Field	Value
Entity Type	Organization
Organization	Roth Medical Inc
Address	1019 N Erie Ave Bldg 5
City	Pueblo
State	CO
ZIP	81001
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	March 31, 2006

Payer Source	Total Paid
Medicaid	$7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

24 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	61,210	$70	$4M
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	1,530	$600	$925K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	29,150	$10	$379K
E0601	Continuous positive airway pressure (CPAP) device	6,850	$50	$369.9K
A7030	Full face mask used with positive airway pressure device, each	3,720	$80	$293.9K
E0424	Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing	2,830	$100	$268.6K
E0562	Humidifier, heated, used with positive airway pressure device	1,700	$150	$253.4K
A7037	Tubing used with positive airway pressure device	4,720	$20	$84.9K
E0470	Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive…	620	$120	$72K
A7035	Headgear used with positive airway pressure device	3,770	$20	$71.5K

Showing 1–10 of 24

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

Roth Medical Inc — 1 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	11	140	7,200	$60	$1.1M
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	15	40	1,070	$540	$919.6K
E0424	Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing	15	40	1,520	$80	$180.6K
E0601	Continuous positive airway pressure (CPAP) device	11	100	1,520	$50	$120.5K
E1392	Portable oxygen concentrator, rental	74	80	1,210	$40	$114K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	10	120	2,810	$10	$108.8K
E0562	Humidifier, heated, used with positive airway pressure device	14	70	620	$90	$99.3K
A7030	Full face mask used with positive airway pressure device, each	8	80	890	$60	$96.4K
E0261	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress	2	10	980	$90	$87.5K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	24	80	690	$40	$47.1K

Showing 1–10 of 24

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Roth Medical Inc	CO	Durable Medical Equipment & Medical Supplies	$0	$8M
Roth Medical Inc	CO	Durable Medical Equipment & Medical Supplies	$0	$6.5M
Roth Medical Inc	CO	Durable Medical Equipment & Medical Supplies	$0	$4.5M

Nearby Providers

Other providers in the same ZIP code as Roth Medical Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Health Solutions	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$118.6M
Argus Home Care Inc	CO	Home Health Agency	$0	$24.9M
Oakshire Gardens	CO	Assisted Living Facility	$0	$14.8M
Pueblo Community Health Center Inc	CO	Federally Qualified Health Center (FQHC)	$0	$7.7M
Pueblo Community Health Center Inc.	CO	Federally Qualified Health Center (FQHC)	$0	$6M
Family & Kids Dental PC	CO	General Practice Dentistry	$0	$4.9M
Richard Rivera Mdpc	CO	Health Service Clinic/Center	$0	$4.3M
Rocky Mountain Eye Center Inc A Colorado Provider Network	CO	Ophthalmology Physician	$0	$3.9M
Pueblo Ambulatory Surgery Center LLC	CO	Ambulatory Surgical Clinic/Center	$273K	$968K
Skyline Surgery Center, LLC	CO	Ambulatory Surgical Clinic/Center	$358.4K	$238K

Roth Medical Inc — Billing Profile & Reimbursement Data

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Roth Medical 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