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

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

Byram Healthcare Centers, Inc. (NPI 1477807667)

Field	Value
Entity Type	Organization
Organization	Byram Healthcare Centers, Inc.
Address	1340 Storm Pkwy
City	Torrance
State	CA
ZIP	90501
Taxonomy	Pharmacy
NPI Enumerated	November 9, 2012

Payer Source	Total Paid
Medicaid	$271.4M
Medicare	$0

Key Findings

This provider is effectively single-payer: there is no Medicare billing on file while lifetime Medicaid revenue is $271.4M, indicating the organization’s entire documented federal reimbursement footprint in our data is concentrated in Medicaid. Analysts should treat Medicaid policy and rate changes as the primary external financial drivers for this entity.

Revenue is concentrated in a small set of Medicaid codes: the precomputed top 3 Medicaid codes account for 34.1% of the provider’s total Medicaid revenue, led by A4239 ($36M, 16.6%), A4351 ($21.6M, 10.0%), and T4541 ($16.1M, 7.5%). This concentration shows a heavy reliance on a few product lines rather than a broad, diversified Medicaid billing mix.

The code mix and top revenue drivers indicate a DME/supply-focused pharmacy operation specializing in chronic-condition supplies and continence/urology products: high-volume CGM supplies (A4239 and K0553), intermittent urinary catheters (A4351, A4352, A4353), and a broad suite of incontinence products (T45xx series) dominate billing. These patterns are consistent with a fulfillment and distribution model for durable medical equipment and consumable supplies rather than a provider delivering face-to-face clinical services.

State-level competitive standing is strong or dominant for multiple codes: A4351 ranks #1 of 39 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), A4353 ranks #1 of 16 (100th percentile; extreme outlier), and A4385 ranks #1 of 27 (100th percentile; extreme outlier). Several additional DME and incontinence codes rank at or near the top (many #2 positions at 98–100th percentiles), indicating the provider is a major statewide supplier for multiple product lines.

Several incontinence product lines show exceptionally high operational volume and scale: T4541 reports 555.7K claims, $29 avg paid/claim, $16.1M revenue and ranks #2 of 288 providers in-state (100th percentile; extreme outlier), while T4535 reports 359.1K claims, $42 avg paid/claim, $15.1M revenue and ranks #2 of 230 providers (100th percentile; extreme outlier). These large claim counts suggest significant logistics, stocking, and claims-processing capabilities concentrated in the T45xx product family.

The provider also bills for higher-priced or specialized items in meaningful amounts, such as E0784 (external ambulatory infusion pump, insulin) with $5.6M revenue and E1399 (durable medical equipment, miscellaneous) with $2.8M revenue; A4353 (intermittent urinary catheter, with insertion supplies) contributes $6.9M and ranks #1 of 16 providers (100th percentile; extreme outlier). This mix of high-volume consumables and mid-to-high priced DME indicates both commodity fulfillment and niche device sales are revenue drivers.

The operational and reimbursement profile creates concentration risk: with top-3 codes accounting for 34.1% of Medicaid revenue and no Medicare revenue to diversify payer exposure, changes in Medicaid coverage, prior authorization policy, or reimbursement for codes like A4239, A4351, or T4541 could materially affect revenue. Analysts should prioritize tracking state Medicaid edits and supplier enrollment policies affecting these specific codes.

Tenure and scale support that this is an established Medicaid supplier: the NPI was enumerated on 2012-11-09 (~14 years ago) and lifetime Medicaid receipts of $271.4M reflect a sustained, multi-year presence in the California Medicaid DME/supplies market. The combination of longevity and repeated #1/#2 statewide rankings suggests persistent market share rather than a short-term billing spike.

Medicaid: Complete Services Breakdown

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

205 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	101,620	$350	$36M
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	82,800	$260	$21.6M
T4541	Incontinence product, disposable underpad, large, each	555,730	$30	$16.1M
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	359,130	$40	$15.1M
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	44,060	$290	$12.6M
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	247,720	$50	$11.9M
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	266,070	$40	$11.4M
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	162,560	$60	$9.6M
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	110,390	$80	$8.4M
A4353	Intermittent urinary catheter, with insertion supplies	10,600	$650	$6.9M

Showing 1–10 of 205

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. California Distribution

Byram Healthcare Centers, Inc. — 19 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

205 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E0784	External ambulatory infusion pump, insulin	5	10	3,300	$2,100	$17.6M
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	4	20	3,570	$380	$8.1M
A4230	Infusion set for external insulin pump, non needle cannula type	3	20	6,690	$160	$5.8M
A4453	Rectal catheter with or without balloon, for use with any type transanal irrigation system, each	1	10	6,930	$510	$3.5M
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	1	40	1,180	$290	$2.3M
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	420	$140	$2.2M
A4232	Syringe with needle for external insulin pump, sterile, 3 cc	4	10	7,330	$50	$2.1M
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	6	10	2,720	$430	$2.1M
A4224	Supplies for maintenance of insulin infusion catheter, per week	7	10	2,370	$80	$1.6M
A4340	Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each	3	10	3,360	$420	$1.4M

Showing 1–10 of 205

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America Holdings	NC	Clinical Medical Laboratory	$214.6M	$1.4B
Laboratory Corporation Of America Holdings	NJ	Clinical Medical Laboratory	$143.3M	$717.5M
Natera, Inc.	CA	Clinical Medical Laboratory	$133.1M	$641.5M
Unilab Corporation	CA	Clinical Medical Laboratory	$94M	$668.5M
Bioreference Health, LLC	NJ	Clinical Medical Laboratory	$66.8M	$620.1M
Laboratory Corporation Of America Holdings	OH	Clinical Medical Laboratory	$56.9M	$617M
Millennium Health, LLC	CA	Clinical Medical Laboratory	$20.4M	$579.3M
Exact Sciences Laboratories, LLC	WI	Clinical Medical Laboratory	$299.3M	$276.5M
Aeroflow Inc.	NC	Durable Medical Equipment & Medical Supplies	$0	$571.9M
Zoll Services LLC	PA	Durable Medical Equipment & Medical Supplies	$0	$503.8M

Nearby Providers

Other providers in the same ZIP code as Byram Healthcare Centers, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Myt Home Health Care, LLC	CA	Durable Medical Equipment & Medical Supplies	$0	$44.9M
Usa Biosciences LLC	CA	Clinical Medical Laboratory	$2.6M	$18.5M
Biox Labs Inc	CA	Clinical Medical Laboratory	$10.6M	$15.1K
Pacific Medical Labs	CA	Clinical Medical Laboratory	$7.3M	$16.1K
Imee Dhir	CA	Family Nurse Practitioner	$559K	$3.3K
Nicholas Fedor	CA	Physician Assistant	$12.4K	$0

Byram Healthcare Centers, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References