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NPI 1609858729 · Twinsburg, OH · Durable Medical Equipment & Medical Supplies
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Rgh Enterprises, LLC is a durable medical equipment & medical supplies provider located in Twinsburg, Ohio. This profile covers 2 Medicare and 283 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Rgh Enterprises, LLC |
| Address | 1810 Summit Commerce Park |
| City | Twinsburg |
| State | OH |
| ZIP | 44087 |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| NPI Enumerated | November 15, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $424.8M |
| Medicare | $4.4M |
RGH ENTERPRISES, LLC appears to operate primarily as a durable medical equipment and supplies supplier focused on infusion and diabetes-related consumables and durable devices; Medicare billing is dominated by A7048 (vacuum drainage collection unit and tubing kit) which alone accounts for $4.3M and 99.2% of the provider's Medicare revenue, while Medicaid billing shows heavy volumes across continuous glucose monitoring supplies (A9276, A9277, K0553, A4239) and a broad range of ostomy and incontinence supplies. The mix of top Medicaid codes (A9276, E0784, A4230, etc.) indicates the business services both diabetes management (sensors, transmitters, supplies and pump components) and high-volume consumable lines like ostomy and incontinence products, implying an operational model that supplies high-frequency, low-unit items at scale.
Revenue concentration is extreme on Medicare and concentrated but more diversified on Medicaid: precomputed results show the top 3 Medicare codes account for 100.0% of Medicare revenue, driven almost entirely by A7048, whereas the top 3 Medicaid codes account for 42.9% of Medicaid revenue, indicating Medicaid revenue is spread across many high-volume supply lines. This suggests Medicare activity is essentially single-product for this NPI, while Medicaid reflects multi-product scale.
Payer mix is heavily weighted to Medicaid in scale: total Medicare revenue is $4.4M versus total Medicaid revenue of $424.8M, signaling the provider is effectively a Medicaid-focused supplier by dollars. Characterizing the operation as single-payer dominant would be accurate for financial footprint: Medicaid constitutes the overwhelming majority of lifetime revenue for this entity.
Competitively, RGH ranks as a dominant statewide player across a wide set of Medicaid codes: the provider is ranked #1 in-state for many high-volume Medicaid codes (including A9276, A4230, E0603, A9277, K0553 and numerous ostomy/incontinence lines) and is repeatedly labeled as an “extreme outlier” or “notably above typical state volume.” Those rankings (100th percentile for many codes) indicate market leadership in Ohio for CGM supplies, breast pumps, ostomy supplies, and incontinence products.
On Medicare the competitive position is nationally concentrated for A7048: the provider ranks #1 of 6 nationally (100th percentile) on A7048 and reports notably above-typical national volume for that specific code. Outside that single HCPCS, Medicare presence is minimal: the only other Medicare-listed code is L9900 at a small share (0.8% of Medicare revenue). This pattern suggests national-scale dominance for one specialized Medicare DME item paired with otherwise limited Medicare engagement.
Operational scale is underscored by the absolute volumes reported in Medicaid claim lines: for example, A9276 shows 230.4K claims and $75.4M revenue while supply and accessory lines such as A4230 (244.9K claims, $30.4M), K0553 (150.7K claims, $19M), and multiple incontinence/ostomy codes exceed tens or hundreds of thousands of claims. These claim counts and payer-dollar concentrations are consistent with a distribution business that fulfills recurring, high-frequency patient supplies rather than episodic procedure-based care.
The provider’s tenure is long-standing: the NPI was enumerated on 2005-11-15 (~21 years ago), indicating sustained operational history in the DME/supply market which helps explain the accumulation of large Medicaid volumes and established rank positions across many in-state product lines. This longevity supports capacity to scale recurring supply fulfillment over time.
Several Medicaid codes are flagged as “extreme outlier, far above typical state volume” (e.g., E0603, K0553, A4351, T4541, T4526, T4527, T4534, T4528, A4253, T4535) which collectively points to disproportionate market share in multiple consumer-product categories for Ohio Medicaid. For payer/market analysis, these outlier labels should prompt review of referral pathways, contract arrangements, and sourcing/fulfillment capabilities to understand how this single supplier achieved such dominant volumes across diverse supply categories.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A7048 | Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each | 98,310 | $40 | $4.3M |
| L9900 | Orthotic and prosthetic supply, accessory, and/or service component of another hcpcs "l" code | 1,050 | $40 | $36.8K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
283 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | 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 | 230,440 | $330 | $75.4M |
| E0784 | External ambulatory infusion pump, insulin | 10,780 | $3,030 | $32.7M |
| A4230 | Infusion set for external insulin pump, non needle cannula type | 244,900 | $120 | $30.4M |
| E0603 | Breast pump, electric (ac and/or dc), any type | 172,210 | $120 | $20.8M |
| A9277 | Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system | 58,680 | $350 | $20.3M |
| K0553 | Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 150,690 | $130 | $19M |
| A9274 | External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories | 32,880 | $450 | $14.7M |
| A4353 | Intermittent urinary catheter, with insertion supplies | 27,260 | $440 | $12M |
| A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 90,010 | $130 | $11.9M |
| A4351 | Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each | 77,320 | $110 | $8.5M |
Showing 1–10 of 283
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio median
283 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| E0784 | External ambulatory infusion pump, insulin | 2 | 10 | 33,980 | $940 | $31.9M |
| 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 | 5,280 | $270 | $15.8M |
| A4230 | Infusion set for external insulin pump, non needle cannula type | 1 | 10 | 2,700 | $130 | $11.7M |
| A9274 | External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories | 1 | 10 | 8,270 | $440 | $6.1M |
| A9277 | Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system | 1 | 10 | 2,230 | $400 | $5.7M |
| E2402 | Negative pressure wound therapy electrical pump, stationary or portable | 4 | 10 | 2,000 | $110 | $3.9M |
| A4353 | Intermittent urinary catheter, with insertion supplies | 1 | 10 | 4,740 | $430 | $3.4M |
| A4232 | Syringe with needle for external insulin pump, sterile, 3 cc | 2 | 10 | 70,590 | $40 | $3.3M |
| A4231 | Infusion set for external insulin pump, needle type | 1 | 10 | 23,640 | $100 | $2.4M |
| A4225 | Supplies for external insulin infusion pump, syringe type cartridge, sterile, each | 1 | 10 | 82,740 | $30 | $2.1M |
Showing 1–10 of 283
Other providers in the same ZIP code as Rgh Enterprises, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Ameripath Cleveland Inc | OH | Clinical Medical Laboratory | $640.4K | $749.4K |
| Monique Cohn | OH | Dermatology Physician | $135.6K | $0 |
| Emily Wasko | OH | Podiatrist | $98.1K | $0 |
| Nalini Corpora | OH | Optometrist | $84.4K | $3.6K |
| Eric Trattner | OH | Podiatrist | $39.6K | $0 |
| Nazmine Deol | OH | Family Medicine Physician | $11.9K | $0 |
| Erika Hopkins | OH | Physician Assistant | $2.3K | $0 |
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