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

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

Doubek Medical Supply Inc. (NPI 1477509628)

Field	Value
Entity Type	Organization
Organization	Doubek Medical Supply Inc.
Address	11350 S Cicero Ave
City	Alsip
State	IL
ZIP	60803
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	May 26, 2006

Payer Source	Total Paid
Medicaid	$37.8M
Medicare	$0

Key Findings

DOUBEK MEDICAL SUPPLY INC. is effectively a Medicaid-focused DME supplier: there is no Medicare billing on file and the provider reports $37.8M in total Medicaid revenue. Its NPI was enumerated on 2006-05-26 (~20 years ago), indicating roughly two decades of enrollment during which its Medicaid activity has been built.

Revenue is highly concentrated in a small set of product lines: the top 3 Medicaid codes by revenue account for 65.6% of this provider's total Medicaid revenue, driven by A4230 ($12M, 32.5%), E0784 ($7M, 18.9%), and B4154 ($5.3M, 14.3%). This concentration indicates the business depends heavily on insulin-pump supplies and enteral nutrition for its Medicaid revenue base.

The code mix signals operational focus on diabetes-related pump supplies and enteral nutrition. High-revenue codes A4230 (76.6K claims, $156 avg paid/claim) and E0784 (12.7K claims, $548 avg paid/claim) point to a core business handling external insulin pump sets and pumps, while B4154 (37K claims, $142 avg paid/claim) shows substantial volume in specialized enteral formula distribution. Together these codes portray a DME/MS operation centered on recurring consumables and device support for chronic conditions.

DOUBEK shows a dominant statewide position for certain codes but mixed competitive dynamics across product lines. It ranks #1 of 20 providers and is labeled an "extreme outlier, far above typical state volume" for B4154, indicating a market-leading footprint in enteral formula. For A4230 and E0784 it also ranks #1 of 2 providers (100th percentile) but the label is "typical, unremarkable volume," reflecting a narrow competitive set where being top-billed does not necessarily imply large statewide scale.

Beyond the top three, the provider displays elevated standing in multiple respiratory and supply categories, suggesting diversified DME capabilities. Notable examples include E0601 (18.6K claims, $53 avg paid/claim) where it ranks #7 of 136 providers (96th percentile, "notably above typical"), A6257 (69K claims, $14 avg paid/claim) where it ranks #1 of 6 providers (100th percentile, "notably above typical"), and E0562 (13.8K claims, $24 avg paid/claim) at the 93rd percentile. These placements indicate strong relative volume in CPAP and accessory supplies in addition to its diabetes and enteral lines.

Claim-count and unit-payment patterns show a mix of high-volume, low-unit-price consumables alongside fewer high-dollar device claims. Examples of high claim volume with low unit payment include A4230 (76.6K claims, $156 avg) and A6257 (69K claims, $14 avg), while higher unit payments appear in E0784 ($548 avg paid/claim). This profile is consistent with a distribution/logistics model that handles large quantities of disposable supplies plus occasional device-level sales.

The Medicaid concentration exposes the provider to payer policy and reimbursement shifts for a limited set of codes. With 65.6% of revenue coming from the top three Medicaid codes and no Medicare billing on file, changes to coverage or rates for A4230, E0784, or B4154 at the state Medicaid level would likely have an outsized impact on overall revenue. Analysts should consider this concentration when assessing revenue stability and contract negotiation leverage.

Given its tenure (NPI enumerated 2006-05-26 (~20 years ago)) and code-level rankings, DOUBEK is a long-established Medicaid vendor with clear strengths in enteral nutrition and diabetes pump supplies and measurable presence in respiratory and incontinence supplies. Its mix of market-leading positions (B4154) and high-percentile placements across several other codes suggests it is a strategic in-state partner for Medicaid plans seeking capacity in these DME categories.

Medicaid: Complete Services Breakdown

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

61 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A4230	Infusion set for external insulin pump, non needle cannula type	76,610	$160	$12M
E0784	External ambulatory infusion pump, insulin	12,700	$550	$7M
B4154	Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or…	37,030	$140	$5.3M
K0552	Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each	46,960	$30	$1.5M
T4541	Incontinence product, disposable underpad, large, each	17,350	$70	$1.2M
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	6,820	$170	$1.2M
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	7,480	$140	$1M
E0601	Continuous positive airway pressure (CPAP) device	18,620	$50	$987K
A6257	Transparent film, sterile, 16 sq. in. or less, each dressing	69,020	$10	$966.3K
A4225	Supplies for external insulin infusion pump, syringe type cartridge, sterile, each	30,510	$30	$915.2K

Showing 1–10 of 61

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Illinois Distribution

Doubek Medical Supply Inc. — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

61 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A4230	Infusion set for external insulin pump, non needle cannula type	1	10	57,840	$140	$8.1M
E0784	External ambulatory infusion pump, insulin	1	10	8,570	$820	$7M
T4524	Adult sized disposable incontinence product, brief/diaper, extra large, each	6	20	870	$70	$775.9K
K0552	Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each	1	10	24,780	$30	$751.5K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	17	90	1,400	$80	$727.1K
T4541	Incontinence product, disposable underpad, large, each	19	130	2,190	$50	$644.7K
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	6	30	420	$50	$640.2K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	13	80	1,230	$100	$639.8K
T4522	Adult sized disposable incontinence product, brief/diaper, medium, each	6	30	590	$50	$618.8K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	11	80	1,340	$80	$616.4K

Showing 1–10 of 61

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Metropolitan Family Services	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$10.1M
Village Of Alsip	IL	Ambulance	$180.2K	$5.5M
Premier Cardiac Surgery Center, PLLC	IL	Ambulatory Surgical Clinic/Center	$3.5M	$0
Hang-jin Shin	IL	Cardiovascular Disease Physician	$840K	$139.8K
James Sur	IL	Interventional Cardiology Physician	$677.7K	$47.1K
Sean Tierney	IL	Clinical Cardiac Electrophysiology Physician	$538.8K	$32.1K

Doubek Medical Supply Inc. — Billing Profile & Reimbursement Data

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Doubek Medical Supply Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References