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

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

Entramed, Inc (NPI 1619522943)

Field	Value
Entity Type	Organization
Organization	Entramed, Inc
Address	685 Citadel Dr E Ste 530
City	Colorado Springs
State	CO
ZIP	80909
Taxonomy	Parenteral & Enteral Nutrition Supplies (DME)
NPI Enumerated	August 5, 2019

Payer Source	Total Paid
Medicaid	$4.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	3,090	$340	$1.1M
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…	1,480	$640	$950.6K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	2,570	$260	$655.1K
B4162	Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an…	830	$490	$404.7K
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	2,600	$140	$364.1K
B9998	Noc for enteral supplies	3,200	$70	$226.8K
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	400	$430	$172.9K
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	940	$170	$160.7K
B4158	Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an…	640	$230	$145K
B4100	Food thickener, administered orally, per ounce	930	$80	$74.6K

Showing 1–10 of 32

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

Entramed, Inc — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	7	10	1,430	$720	$3.4M
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	7	20	2,100	$310	$2.6M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	12	20	2,840	$230	$1.8M
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	9	10	1,400	$340	$1.4M
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	6	10	2,420	$140	$1.3M
B9998	Noc for enteral supplies	8	10	4,710	$80	$1M
B4155	Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium…	13	20	840	$310	$871K
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	16	20	2,210	$170	$748.4K
B4158	Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an…	5	10	1,110	$230	$693.6K
A4554	Disposable underpads, all sizes	40	60	6,090	$50	$584.2K

Showing 1–10 of 32

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Entramed, Inc	TX	Parenteral & Enteral Nutrition Supplies (DME)	$0	$36.9M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Voyager Home Health Care LLC	CO	Home Health Agency	$0	$69.7M
Uch-mhs	CO	General Acute Care Hospital	$0	$69M
Rocky Mountain Health Care Services	CO	PACE Provider Organization	$0	$38.5M
Buck Jack LLC	CO	Speech-Language Pathologist	$0	$32.7M
Mountain View Home Care Inc.	CO	In Home Supportive Care Agency	$0	$19.3M
Emergency Medical Specialists, PC	CO	Emergency Medicine Physician	$0	$13.2M
Colorado Domestic Care Inc.	CO	Home Health Agency	$0	$11.6M
Radiology & Imaging Consultants PC	CO	Diagnostic Radiology Physician	$0	$9.5M
Hero Dental Of Springs PC	CO	General Practice Dentistry	$0	$9.3M
Retina Consultants Of Southern Colorado P C	CO	Ophthalmology Physician	$0	$9M

Entramed, Inc — Billing Profile & Reimbursement Data

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Entramed, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References