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

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

Byram Healthcare Centers, Inc. (NPI 1609024397)

Field	Value
Entity Type	Organization
Organization	Byram Healthcare Centers, Inc.
Address	19820 N Creek Pkwy Ste 100
City	Bothell
State	WA
ZIP	98011
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	September 5, 2008

Payer Source	Total Paid
Medicaid	$92.8M
Medicare	$0

Key Findings

BYRAM HEALTHCARE CENTERS, INC. appears to be effectively a Medicaid-focused durable medical equipment and supplies provider: it has no Medicare billing on file and reports $92.8M in lifetime Medicaid revenue, indicating single-payer concentration with Medicaid as the dominant revenue source. The absence of Medicare activity suggests the provider either does not participate in Medicare DMEPOS networks or its Medicare volume is negligible relative to Medicaid.

Revenue is concentrated in a small set of Medicaid codes: the top 3 Medicaid codes by revenue account for 33.7% of total Medicaid revenue, with E0784 (external ambulatory infusion pump, insulin) alone contributing $11.2M (16.0% of total). This concentration implies a core business focus on insulin pump systems and their consumable supplies.

The code mix shows a strong specialization in diabetes management and related supplies: high-revenue items include E0784, A9276 (sensor for interstitial CGM), A4230 (infusion set for external insulin pump), and multiple CGM supply codes such as K0553 and A9277. Together these items suggest BYRAM operates as a major supplier for insulin pump users and continuous glucose monitoring consumables.

BYRAM ranks as a statewide leader on many Medicaid codes: it is #1 in-state for numerous high-revenue codes (E0784, A9276, A4230, K0553, A4232, A4239, A4385, A4407, A4409, A6212 and others) often at the 100th percentile, indicating dominant market share in Washington for those product lines. Such repeated #1 rankings and 100th-percentile placements reflect strong competitive positioning in the state DME supply market for diabetes and ostomy wound-care products.

Several product lines are statistical outliers in state volume, signaling unusually large scale relative to peers: T4534 (youth disposable incontinence pull-on) and A4351 (intermittent urinary catheter; straight tip) are flagged as "extreme outlier, far above typical state volume" and "extreme outlier, far above typical state volume" respectively, while multiple incontinence-related codes (T4541, T4527, T4526, T4528, T4535) are described as "notably above typical state volume" or high percentile placements. These patterns indicate BYRAM supplies very large volumes of incontinence and catheter products in addition to diabetes supplies.

The provider also reports substantial volumes in ostomy and wound-care supplies, with codes like A4385 ($2.4M), A4407 ($1.9M), A4409 ($1.8M), A6212 ($1.4M) and A6210 ($1.2M) ranked #1 in-state and often at the 100th percentile. This breadth across diabetes, incontinence, and ostomy/wound-care product categories suggests a diversified DME inventory serving multiple high-need patient groups under Medicaid.

Several high-cost per-unit supplies contribute materially to revenue despite smaller claim counts—examples include A9277 (transmitter for CGM) at $587 avg paid/claim and A6197 (large alginate dressing) at $373 avg paid/claim. These items, together with the large monthly-supply codes like K0553 ($5.8M), indicate BYRAM’s revenue mix includes both recurring monthly consumables and higher-priced durable accessories.

BYRAM has been an enrolled NPI for a substantial period: the NPI was enumerated on 2008-09-05 (~18 years ago), which reinforces that its market position and high volumes have likely been built over a long operational tenure in the state Medicaid DME market.

Medicaid: Complete Services Breakdown

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

151 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E0784	External ambulatory infusion pump, insulin	25,600	$440	$11.2M
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	16,950	$380	$6.4M
A4230	Infusion set for external insulin pump, non needle cannula type	42,480	$140	$6.1M
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	33,360	$170	$5.8M
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	45,390	$80	$3.4M
A4232	Syringe with needle for external insulin pump, sterile, 3 cc	44,840	$60	$2.9M
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	15,680	$180	$2.8M
A4385	Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each	32,010	$80	$2.4M
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	16,240	$150	$2.4M
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	3,840	$590	$2.3M

Showing 1–10 of 151

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Washington Distribution

Byram Healthcare Centers, Inc. — 16 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. Washington median

151 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	1	10	16,950	$380	$6.4M
E0784	External ambulatory infusion pump, insulin	1	10	12,810	$440	$5.6M
E1399	Durable medical equipment, miscellaneous	15	20	1,330	$1,380	$5.3M
A4230	Infusion set for external insulin pump, non needle cannula type	1	10	21,260	$140	$3M
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	8	10	1,020	$540	$2.7M
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	1	10	3,840	$590	$2.3M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	14	20	6,040	$210	$2.1M
A4232	Syringe with needle for external insulin pump, sterile, 3 cc	1	10	22,430	$60	$1.4M
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	5,060	$350	$1.3M
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	1	10	1,010	$170	$1.3M

Showing 1–10 of 151

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America Holdings	NC	Clinical Medical Laboratory	$214.6M	$1.4B
Laboratory Corporation Of America Holdings	NJ	Clinical Medical Laboratory	$143.3M	$717.5M
Natera, Inc.	CA	Clinical Medical Laboratory	$133.1M	$641.5M
Unilab Corporation	CA	Clinical Medical Laboratory	$94M	$668.5M
Bioreference Health, LLC	NJ	Clinical Medical Laboratory	$66.8M	$620.1M
Laboratory Corporation Of America Holdings	OH	Clinical Medical Laboratory	$56.9M	$617M
Millennium Health, LLC	CA	Clinical Medical Laboratory	$20.4M	$579.3M
Exact Sciences Laboratories, LLC	WI	Clinical Medical Laboratory	$299.3M	$276.5M
Aeroflow Inc.	NC	Durable Medical Equipment & Medical Supplies	$0	$571.9M
Zoll Services LLC	PA	Durable Medical Equipment & Medical Supplies	$0	$503.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Healthpoint	WA	Federally Qualified Health Center (FQHC)	$0	$13.6M
Healthpoint	WA	Federally Qualified Health Center (FQHC)	$0	$2.8M
Jeff Peterson	WA	Rheumatology Physician	$1M	$0
Richard Jimenez	WA	Rheumatology Physician	$205.9K	$0
Kelly Hall	WA	Podiatrist	$84.9K	$0
Lilaine Leonardo	WA	Family Medicine Physician	$42.6K	$0
Cheryl Smith	WA	Physical Therapist	$10.2K	$0
Callan Kosnik	WA	Medical Physician Assistant	$2.6K	$0

Byram Healthcare Centers, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References