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

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

Tandem Diabetes Care Inc (NPI 1619295516)

Field	Value
Entity Type	Organization
Organization	Tandem Diabetes Care Inc
Address	12400 High Bluff Dr
City	San Diego
State	CA
ZIP	92130
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	May 17, 2010

Payer Source	Total Paid
Medicaid	$83M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E0784	External ambulatory infusion pump, insulin	14,910	$3,550	$53M
A4230	Infusion set for external insulin pump, non needle cannula type	101,700	$180	$18.2M
A4232	Syringe with needle for external insulin pump, sterile, 3 cc	114,790	$60	$6.5M
A4224	Supplies for maintenance of insulin infusion catheter, per week	20,810	$100	$2M
A4231	Infusion set for external insulin pump, needle type	14,420	$130	$1.9M
A4225	Supplies for external insulin infusion pump, syringe type cartridge, sterile, each	20,320	$40	$792.6K
A4221	Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)	3,540	$110	$389.4K
K0552	Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each	5,270	$50	$242.3K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. California Distribution

Tandem Diabetes Care Inc — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E0784	External ambulatory infusion pump, insulin	2	10	3,300	$2,100	$17.6M
A4230	Infusion set for external insulin pump, non needle cannula type	2	20	6,690	$160	$5.8M
A4232	Syringe with needle for external insulin pump, sterile, 3 cc	2	10	7,330	$50	$2.1M
A4224	Supplies for maintenance of insulin infusion catheter, per week	2	10	2,370	$80	$1.6M
A4231	Infusion set for external insulin pump, needle type	2	10	3,750	$120	$1.1M
A4225	Supplies for external insulin infusion pump, syringe type cartridge, sterile, each	2	10	2,760	$30	$428.3K
K0552	Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each	2	10	490	$30	$153.9K
A4221	Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)	2	20	290	$60	$58.7K

Nearby Providers

Other providers in the same ZIP code as Tandem Diabetes Care Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Derm - Jes Holdings, LLC	CA	Clinical Medical Laboratory	$7.4M	$157.1K
Nikolas London	CA	Ophthalmology Physician	$6.4M	$0
Scripps Health	CA	Ambulatory Surgical Clinic/Center	$2.2M	$0
Specialists Surgery Center Of Del Mar LLC	CA	Ambulatory Surgical Clinic/Center	$1.4M	$0
Manisha Kumar	CA	Rheumatology Physician	$1.1M	$0
Megan Lynch	CA	Rheumatology Physician	$1M	$0
Jeffrey Eaton	CA	MOHS-Micrographic Surgery Physician	$554.9K	$0
Andrew White	CA	Allergy & Immunology Physician	$389.6K	$0
Salvatore Pacella	CA	Plastic Surgery Physician	$341K	$0
Katharine Woessner	CA	Allergy & Immunology Physician	$308.8K	$0

Tandem Diabetes Care Inc — Billing Profile & Reimbursement Data

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Tandem Diabetes Care Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References