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

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

National Durable Medical Equipment Inc (NPI 1487646360)

Field	Value
Entity Type	Organization
Organization	National Durable Medical Equipment Inc
Address	7757 S. Allen Street
City	Midvale
State	UT
ZIP	84047
Taxonomy	Prosthetic/Orthotic Supplier
NPI Enumerated	August 17, 2005

Payer Source	Total Paid
Medicaid	$3.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	5,040	$150	$750.2K
L4387	Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf	5,750	$90	$506K
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	15,720	$30	$440.2K
L1902	Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf	8,750	$40	$332.5K
E0114	Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips	11,900	$30	$309.4K
L1820	Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific…	4,110	$70	$295.8K
L3924	Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf	6,200	$40	$254.3K
E0570	Nebulizer, with compressor	4,030	$50	$189.4K
L1833	Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf	280	$280	$77K
L3809	Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type	590	$130	$73.9K

Showing 1–10 of 29

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Utah Distribution

National Durable Medical Equipment Inc — 13 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. Utah median

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	1	10	2,540	$150	$378.1K
L4387	Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf	1	10	2,910	$90	$257.9K
L3924	Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf	1	10	6,200	$40	$257.4K
E1399	Durable medical equipment, miscellaneous	6	10	1,050	$150	$250.9K
L1820	Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific…	1	10	2,100	$70	$153.5K
L1902	Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf	1	10	70	$40	$114.4K
E0114	Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips	1	10	50	$30	$104.5K
L1833	Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf	1	10	280	$280	$76.9K
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	1	10	40	$30	$76.1K
L3260	Surgical boot/shoe, each	1	10	8,260	$10	$68.1K

Showing 1–10 of 29

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Utah Autism Academy	UT	Developmentally Disabled Services Day Training Agency	$0	$8.2M
Jordan School District	UT	Local Education Agency (LEA)	$0	$6.6M
Ihc Health Services Inc	UT	Specialty Pharmacy	$0	$6.5M
Next Level Recovery LLC	UT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.2M
Apria Healthcare LLC	UT	Durable Medical Equipment & Medical Supplies	$0	$2.1M
Community Health Centers, Inc.	UT	Federally Qualified Health Center (FQHC)	$0	$1.5M
Mg Cottonwood Heights Subtenant LLC	UT	Assisted Living Facility	$0	$1.4M
Canyon Creek Property Management LLC	UT	Assisted Living Facility	$0	$948.9K
Eye Care For Kids	UT	Optometrist	$0	$863.4K
Caregiving Services	UT	In Home Supportive Care Agency	$0	$808.6K

National Durable Medical Equipment Inc — Billing Profile & Reimbursement Data

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National Durable Medical Equipment 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

Nearby Providers

Frequently Asked Questions

References