Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidCaremax Health Group, LLC
    Ask Trek AI about this page

    Caremax Health Group, LLC — Billing Profile & Reimbursement Data

    NPI 1588603492 · Las Vegas, NV · Durable Medical Equipment & Medical Supplies

    Customize your policy alerts

    Sign up for Caremax Health Group, LLC — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Caremax Health Group, LLC is a durable medical equipment & medical supplies provider located in Las Vegas, Nevada. This profile covers 0 Medicare and 48 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 7

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCaremax Health Group, LLC
    Address6280 S Pecos Rd Ste 500
    CityLas Vegas
    StateNV
    ZIP89120
    TaxonomyDurable Medical Equipment & Medical Supplies
    NPI EnumeratedJune 6, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$6.2M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    48 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T4541Incontinence product, disposable underpad, large, each32,720$30$1M
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each11,060$80$873.7K
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each8,970$80$681.3K
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each6,580$90$592.2K
    T4523Adult sized disposable incontinence product, brief/diaper, large, each5,290$90$476.5K
    T4524Adult sized disposable incontinence product, brief/diaper, extra large, each3,850$100$400.8K
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each14,740$20$294.8K
    T4522Adult sized disposable incontinence product, brief/diaper, medium, each3,740$70$243.1K
    K0001Standard wheelchair6,730$40$235.5K
    T4544Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each1,420$150$217.3K

    Showing 1–10 of 48

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Nevada median

    48 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T4541Incontinence product, disposable underpad, large, each3301,460$30$266K
    T4524Adult sized disposable incontinence product, brief/diaper, extra large, each310930$100$250.2K
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each330920$70$238.7K
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each330990$70$238.1K
    T4523Adult sized disposable incontinence product, brief/diaper, large, each320370$80$199.7K
    T4544Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each2101,240$150$197.7K
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each330340$90$175.7K
    T4525Adult sized disposable incontinence product, protective underwear/pull-on, small size, each310320$70$149.4K
    T4522Adult sized disposable incontinence product, brief/diaper, medium, each320670$60$133.1K
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each220890$20$117.4K

    Showing 1–10 of 48

    Nearby Providers

    Other providers in the same ZIP code as Caremax Health Group, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bio-medical Applications Of Nevada, LLCNVEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$11.4M
    Renee Lim Ngo PCNVPsychiatry Physician$0$5.1M
    Newway Neurotherapy Health And WellnessNVPsychiatry Physician$0$4.9M
    Holy Infant Carin Pediatric Group, PLLCNVPediatrics Physician$0$4.9M
    ExellabsNVClinical Medical Laboratory$395.4K$2.9M
    Newway Neurotherapy Health And WellnessNVMental Health Clinic/Center (Including Community Mental Health Center)$0$3.3M
    Docs On Go LLCNVClinic/Center$0$3.1M
    Edwin Suarez Physical Therapy, LLCNVPhysical Therapist$0$3.1M
    Motivated Kids Therapy LLCNVPediatric Occupational Therapist$0$2.8M
    All Time Health CareNVDurable Medical Equipment & Medical Supplies$0$2.7M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Nevada Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nevada Distribution
    Caremax Health Group, LLC — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada