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

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

Ran-care Inc (NPI 1568583169)

Field	Value
Entity Type	Organization
Organization	Ran-care Inc
Address	875 N Rt 2 Ste A-106
City	Agat
State	GU
ZIP	96928
Taxonomy	Community/Retail Pharmacy
NPI Enumerated	April 2, 2007

Payer Source	Total Paid
Medicaid	$8.1K
Medicare	$0

Key Findings

RAN-CARE INC is effectively a single-payer provider in the available data: there is no Medicare billing on file while total Medicaid revenue is listed as $8.1K, indicating its Medicaid business accounts for all reported public-payer activity. The absence of Medicare claims suggests this entity operates primarily within Medicaid-covered services or populations rather than Medicare beneficiaries.

The Medicaid revenue for RAN-CARE INC is highly concentrated: the top 3 Medicaid codes account for 100.0% of the provider's total Medicaid revenue. A4206 alone represents $7.5K and 92.1% of Medicaid revenue, showing that syringe supply is the dominant revenue driver for this provider.

Service-line implications from the top codes point to a community/retail pharmacy model focused on durable medical supplies and diabetes self-management products. The leading code A4206 (Syringe with needle, sterile, 1 cc or less) and the presence of A4253 (test strips) and A4259 (lancets) indicate the pharmacy primarily dispenses injection supplies and glucose-monitoring consumables to Medicaid patients. This mix is consistent with retail pharmacy operations serving chronic disease management needs.

Competitive standing within the state is modest to typical for these codes rather than dominant. For A4206, RAN-CARE INC ranks #3 of 8 providers in-state and sits at the 71th percentile, described as typical, unremarkable volume for that code; for A4253 it ranks #9 of 11 (20th percentile) and for A4259 it ranks #9 of 9 (0th percentile), both also described as typical, unremarkable volumes. These ranks imply the provider is a mid- to lower-tier participant statewide for its top Medicaid supplies.

Tenure: the provider’s NPI was enumerated on 2007-04-02 (~19 years ago), indicating long-standing enrollment in the NPI system. This extended tenure suggests established operations and continuous participation in state Medicaid programs over many years, despite modest revenue levels.

The claim-level details reinforce a low-margin, high-volume dispensing pattern: A4206 shows 681 claims at an average paid/claim of $11 for $7.5K revenue, while A4253 and A4259 account for much smaller shares ($615 and $24 respectively). This distribution—many small paid claims concentrated in syringes and glucose supplies—fits a retail pharmacy fulfilling routine consumable medical supply needs for Medicaid beneficiaries.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A4206	Syringe with needle, sterile, 1 cc or less, each	680	$10	$7.5K
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	40	$20	$620
A4259	Lancets, per box of 100	20	$1	$20

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Guam Distribution

Ran-care Inc — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Guam

Full comparison — all codes billed, vs. Guam median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A4206	Syringe with needle, sterile, 1 cc or less, each	3	10	320	$10	$7.6K
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	9	10	130	$20	$5.8K
A4259	Lancets, per box of 100	9	10	140	$1	$530

Ran-care Inc — Billing Profile & Reimbursement Data

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Ran-care 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

Frequently Asked Questions

References