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

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

Grace Medical Equipment, LLC. (NPI 1508950197)

Field	Value
Entity Type	Organization
Organization	Grace Medical Equipment, LLC.
Address	1516 N. Grand Ave
City	Tahlequah
State	OK
ZIP	74464
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	October 3, 2006

Payer Source	Total Paid
Medicaid	$2.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	13,060	$60	$718.5K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	5,920	$100	$591.9K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	4,880	$80	$410.3K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	3,760	$110	$409.4K
T4541	Incontinence product, disposable underpad, large, each	7,260	$40	$268.6K
T4540	Incontinence product, protective underpad, reusable, chair size, each	630	$160	$97.7K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	420	$230	$95.2K
T4543	Adult sized disposable incontinence product, protective brief/diaper, above extra large, each	460	$190	$86.6K
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	350	$140	$47.7K
T4525	Adult sized disposable incontinence product, protective underwear/pull-on, small size, each	310	$80	$24.8K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Oklahoma Distribution

Grace Medical Equipment, LLC. — 0 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. Oklahoma median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	10	50	2,650	$60	$485.9K
T4541	Incontinence product, disposable underpad, large, each	13	50	2,210	$60	$403.8K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	8	50	1,510	$100	$380.3K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	10	40	1,240	$120	$338.4K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	9	40	1,350	$90	$337.5K
E1399	Durable medical equipment, miscellaneous	17	30	280	$330	$285.4K
T4543	Adult sized disposable incontinence product, protective brief/diaper, above extra large, each	15	30	510	$170	$214.9K
T4525	Adult sized disposable incontinence product, protective underwear/pull-on, small size, each	13	20	1,080	$80	$146.3K
T4544	Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each	11	10	490	$190	$146K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	15	30	520	$180	$132.8K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Grace Medical Equipment, LLC., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northeastern Oklahoma Community Health Centers Inc	OK	Federally Qualified Health Center (FQHC)	$0	$16.6M
Creoks Mental Health Services	OK	Community/Behavioral Health Agency	$0	$12.5M
Northeastern Health System	OK	General Acute Care Hospital	$0	$9.8M
Cherokee Nation Home Health Outreach	OK	Case Management Agency	$0	$7.4M
Northeastern Oklahoma Community Health Centers, Inc	OK	Federally Qualified Health Center (FQHC)	$0	$7M
Cherokee Nation	OK	General Acute Care Hospital	$0	$6.4M
Northeastern Oklahoma Community Health Centers, Inc	OK	Federally Qualified Health Center (FQHC)	$0	$5.8M
Cornerstone Health Care Resources, LLC	OK	Case Management Agency	$0	$5.4M
Northeastern Oklahoma Community Health Centers, Inc	OK	Federally Qualified Health Center (FQHC)	$0	$4.2M
Northeastern Oklahoma Community Health Centers, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$2.6M

Grace Medical Equipment, LLC. — Billing Profile & Reimbursement Data

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Grace Medical Equipment, LLC. — 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