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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Prism Medical Products, L.L.C. (NPI 1548367063)

Field	Value
Entity Type	Organization
Organization	Prism Medical Products, L.L.C.
Address	112 Church St Ste 101
City	Elkin
State	NC
ZIP	28621
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	September 19, 2006

Payer Source	Total Paid
Medicaid	$37M
Medicare	$0

Medicaid: Complete Services Breakdown

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

102 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A6021	Collagen dressing, sterile, size 16 sq. in. or less, each	39,730	$140	$5.4M
A6196	Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing	74,350	$70	$5M
A6197	Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing	24,430	$170	$4.2M
A6212	Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing	52,150	$60	$3.1M
A6252	Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing	68,630	$40	$2.5M
A6446	Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard	114,870	$20	$1.7M
A6209	Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	33,890	$50	$1.6M
A6210	Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing	10,300	$120	$1.2M
A6253	Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing	11,560	$90	$1.1M
A6402	Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	144,530	$10	$867.2K

Showing 1–10 of 102

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Carolina Distribution

Prism Medical Products, L.L.C. — 20 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. North Carolina median

102 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E0603	Breast pump, electric (ac and/or dc), any type	6	10	1,540	$120	$9.8M
L0621	Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf	3	10	2,640	$50	$3.9M
A6021	Collagen dressing, sterile, size 16 sq. in. or less, each	1	10	20,420	$130	$2.7M
A6530	Gradient compression stocking, below knee, 18-30 mmhg, each	6	10	400	$70	$2.7M
A6196	Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing	1	10	1,860	$70	$1.7M
A6252	Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing	1	10	35,230	$40	$1.3M
A6212	Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing	1	10	880	$80	$1.2M
A6446	Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard	1	10	58,460	$20	$892.1K
A6209	Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	1	10	17,170	$50	$782.3K
A6197	Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing	1	10	680	$170	$773.3K

Showing 1–10 of 102

Related Providers

Other providers that share a Tax Identification Number (TIN) with Prism Medical Products, L.L.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Abbey Kerr	NY	Medical Physician Assistant	$48.4K	$0

Nearby Providers

Other providers in the same ZIP code as Prism Medical Products, L.L.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hugh Chatham Memorial Hospital Inc	NC	General Acute Care Hospital	$0	$9.4M
Tomas Vybiral	NC	Cardiovascular Disease Physician	$310.9K	$0
Sailaja Bondalapati	NC	Ophthalmology Physician	$188.9K	$0
Andrew Lee	NC	Dermatology Physician	$188.3K	$0
Jeannette Loman	NC	Internal Medicine Physician	$141K	$0
Murugananthan Subbiah	NC	Internal Medicine Physician	$135.4K	$0
Steven Lavine	NC	Cardiovascular Disease Physician	$111K	$7.7K
Jacqueline Darcey	NC	Internal Medicine Physician	$68.5K	$0
Stephen Walker	NC	Family Medicine Physician	$67.3K	$0
Dominick Carbone	NC	Urology Physician	$65.5K	$0

Prism Medical Products, L.L.C. — Billing Profile & Reimbursement Data

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Prism Medical Products, L.L.C. — 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