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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Lincare Inc (NPI 1497793152)

Field	Value
Entity Type	Organization
Organization	Lincare Inc
Address	4200 1st Ave
City	Nitro
State	WV
ZIP	25143
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	June 3, 2006

Payer Source	Total Paid
Medicaid	$2.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

26 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	26,350	$50	$1.4M
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	1,140	$330	$373.7K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	11,500	$10	$149.5K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	1,850	$50	$94.3K
A7030	Full face mask used with positive airway pressure device, each	1,700	$50	$86.6K
A7037	Tubing used with positive airway pressure device	4,800	$20	$86.4K
A7038	Filter, disposable, used with positive airway pressure device	5,720	$10	$57.2K
E0601	Continuous positive airway pressure (CPAP) device	2,160	$30	$54K
A7032	Cushion for use on nasal mask interface, replacement only, each	1,120	$40	$49.5K
A7031	Face mask interface, replacement for full face mask, each	1,820	$30	$45.5K

Showing 1–10 of 26

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. West Virginia Distribution

Lincare Inc — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. West Virginia median

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	3	10	12,810	$100	$985.2K
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	14	30	1,020	$310	$547.3K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	8	80	5,550	$60	$504.2K
E0601	Continuous positive airway pressure (CPAP) device	19	60	1,500	$40	$71K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	10	80	3,150	$10	$55.4K
A7030	Full face mask used with positive airway pressure device, each	11	50	560	$60	$52.8K
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include…	1	10	1,050	$50	$40.9K
E0562	Humidifier, heated, used with positive airway pressure device	6	40	820	$30	$38.7K
K0003	Lightweight wheelchair	10	10	760	$20	$36.3K
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…	24	30	170	$80	$25.6K

Showing 1–10 of 26

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mdinr, LLC	CA	Physiological Laboratory	$25.2M	$1.9M
Lincare Inc.	IN	Durable Medical Equipment & Medical Supplies	$0	$16.1M
Lincare Inc	CT	Durable Medical Equipment & Medical Supplies	$0	$14.6M
Lincare Inc.	IN	Durable Medical Equipment & Medical Supplies	$0	$14M
Lincare Inc	OH	Durable Medical Equipment & Medical Supplies	$0	$13M
Lincare Inc.	NC	Durable Medical Equipment & Medical Supplies	$0	$10.6M
Lincare Inc.	MO	Durable Medical Equipment & Medical Supplies	$0	$10.3M
Lincare Inc.	NC	Durable Medical Equipment & Medical Supplies	$0	$9.1M
Lincare Inc.	MO	Durable Medical Equipment & Medical Supplies	$0	$8.8M
Lincare Inc.	CO	Durable Medical Equipment & Medical Supplies	$0	$7.2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hopewell Community Services LLC	WV	Community/Behavioral Health Agency	$0	$15.4M
Apria Healthcare LLC	WV	Durable Medical Equipment & Medical Supplies	$0	$797.7K
Karlie Perkins	WV	Family Nurse Practitioner	$21.7K	$0
Jennifer Nunley	WV	Family Nurse Practitioner	$15.7K	$0

Lincare Inc — Billing Profile & Reimbursement Data

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Lincare 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