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

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

Bright Medical Technology Inc (NPI 1619988284)

Field	Value
Entity Type	Organization
Organization	Bright Medical Technology Inc
Address	855 Dunksferry Rd Ste B
City	Bensalem
State	PA
ZIP	19020
Taxonomy	Community/Retail Pharmacy
NPI Enumerated	August 10, 2006

Payer Source	Total Paid
Medicaid	$47.4M
Medicare	$0

Key Findings

BRIGHT MEDICAL TECHNOLOGY INC reports $47.4M in lifetime Medicaid revenue and has no Medicare billing on file, making its visible business essentially Medicaid-centric. The absence of Medicare activity means the provider should be treated as effectively single-payer (Medicaid) for analyses that rely on claims volume and revenue mix.

Revenue is highly concentrated in a few service lines: the precomputed top three Medicaid codes (B4160, T4534, B4150) account for 39.9% of this provider's total Medicaid revenue. Specifically, B4160 generated $8.9M (19.3%), T4534 $5.4M (11.8%), and B4150 $4M (8.8%), indicating a small number of supply categories dominate receipts.

The provider’s code mix and claim volumes indicate it operates as a high-volume community/retail pharmacy with a heavy durable medical equipment (DME) and enteral nutrition focus. Large claim counts for enteral nutrition (B4160: 54.8K claims; B4150: 40.7K claims) alongside very high volumes of incontinence supplies (e.g., T4534: 46.1K claims; T4535: 49.3K claims) point to a business model centered on recurring supplies for chronic needs and pediatric/adult feeding support.

BRIGHT MEDICAL appears to be a dominant statewide supplier for several specific codes: B4160 ranks #1 of 33 providers in-state (100th percentile; extreme outlier), B4150 ranks #1 of 42 (100th percentile; extreme outlier), and T4534 ranks #2 of 26 (96th percentile; notably above typical state volume). These rank/percentile positions characterize the provider as a major player in enteral nutrition and incontinence products within the state.

Multiple lines show statistical outlier behavior across the Medicaid code set, suggesting unusually large scale relative to peers. Examples include T4541 (99th percentile; extreme outlier) with 99.8K claims at $23 avg paid/claim, E0570 (99th percentile; extreme outlier) with 22.4K claims, and A4670 (100th percentile; extreme outlier) at #1 of 22 providers, which together indicate consistently high volume across DME categories rather than a single anomalous code.

From a payer perspective, the provider’s mix combines very high claim counts on low-dollar items and substantial revenue on enteral formulas, creating distinct utilization and cost-control implications. High-volume, repetitive supplies (for example T4541 at 99.8K claims and T4535 at 49.3K claims) are areas where payers may consider tighter network management, prior authorization, or supplier enrollment scrutiny to manage program integrity and cost.

The provider’s service breadth extends beyond nutrition and incontinence: A4927 gloves (85.9K claims, $1.4M), A4253 glucose test strips (8.1K claims, $258.6K; ranked #1 of 32, 100th percentile), and E0570 nebulizers (22.4K claims, $1.2M; 99th percentile) show a diversified DME inventory that services home medical needs across multiple care areas. This product mix reinforces a retail-pharmacy-plus-DME operating profile serving both pediatric and adult Medicaid populations.

BRIGHT MEDICAL TECHNOLOGY INC’s NPI was enumerated on 2006-08-10 (~20 years ago), indicating a long-standing presence in the provider registry. Combined with the scale and concentration of Medicaid billing, the tenure suggests an established operation that has built substantial state-level share in enteral nutrition and incontinence supply categories over time.

Medicaid: Complete Services Breakdown

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

74 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,…	54,760	$160	$8.9M
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	46,130	$120	$5.4M
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	40,720	$100	$4M
T4532	Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each	32,600	$90	$3M
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	31,330	$90	$2.9M
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	27,210	$90	$2.5M
T4541	Incontinence product, disposable underpad, large, each	99,760	$20	$2.3M
T4543	Adult sized disposable incontinence product, protective brief/diaper, above extra large, each	9,900	$210	$2.1M
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	17,210	$100	$1.8M
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	49,300	$40	$1.7M

Showing 1–10 of 74

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

Bright Medical Technology Inc — 14 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

74 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E1399	Durable medical equipment, miscellaneous	22	40	350	$540	$1.4M
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,…	1	30	490	$190	$874.5K
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	2	30	1,460	$130	$845.1K
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	7	10	670	$90	$793.2K
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…	13	20	180	$470	$766.9K
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	6	10	1,080	$80	$686.4K
E0603	Breast pump, electric (ac and/or dc), any type	21	30	1,170	$160	$579.6K
T4543	Adult sized disposable incontinence product, protective brief/diaper, above extra large, each	1	40	1,130	$240	$472.4K
T4532	Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each	1	10	250	$100	$457.1K
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	11	40	690	$100	$422.2K

Showing 1–10 of 74

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Atlantic Diagnostic Laboratories, LLC.	PA	Clinical Medical Laboratory	$1.5M	$87.1M
Brett Dinovi & Associates PA LLC	PA	Behavior Analyst	$0	$74.8M
Dynamic Home Health Care, Inc	PA	Home Health Agency	$0	$25.9M
Brotherston Homecare, Inc.	PA	Durable Medical Equipment & Medical Supplies	$0	$16.4M
Warwick Family Based Program Inc	PA	Community/Behavioral Health Agency	$0	$14.7M
Preferred Home Health Care & Nursing Services Inc.	PA	Home Health Agency	$0	$14M
Livengrin Foundation, Inc.	PA	Community/Behavioral Health Agency	$0	$13.9M
Parkway Clinical Laboratories, Inc.	PA	Clinical Medical Laboratory	$270.9K	$7.6M
Contour Medical Supply Inc	PA	Durable Medical Equipment & Medical Supplies	$0	$7.5M
Ic Laser Eye Care, P.C.	PA	Ophthalmology Physician	$0	$5.8M

Bright Medical Technology 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

Nearby Providers

Frequently Asked Questions

References