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    OpenPayerNPI Medicare & Medicaid180 Medical Inc
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    180 Medical Inc — Billing Profile & Reimbursement Data

    NPI 1639160708 · Oklahoma City, OK · Durable Medical Equipment & Medical Supplies

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    180 Medical Inc is a durable medical equipment & medical supplies provider located in Oklahoma City, Oklahoma. This profile covers 0 Medicare and 106 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    Organization180 Medical Inc
    Address8516 Nw Expressway
    CityOklahoma City
    StateOK
    ZIP73162
    TaxonomyDurable Medical Equipment & Medical Supplies
    NPI EnumeratedOctober 28, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$157.7M
    Medicare$0

    Key Findings

    This entity is effectively a Medicaid-focused durable medical equipment and supplies retailer: it has no Medicare billing on file and reports $157.7M in lifetime Medicaid revenue, consistent with its taxonomy of Durable Medical Equipment & Medical Supplies and the product mix observed in claims. The dominant services are catheterization supplies and ostomy/incontinence products rather than clinical or procedural care, based on the top codes billed.

    Revenue concentration is extremely high: the precomputed top-three Medicaid codes (A4353, A4351, A4352) together account for 89.7% of this provider's total Medicaid revenue, indicating the business is highly dependent on a small set of product lines. In particular, A4353 alone represents $98.7M and 65.7% of Medicaid revenue, making that single code the primary revenue driver.

    Volume metrics confirm specialization in intermittent catheter products: A4353 shows 177.3K claims and $98.7M revenue, A4351 shows 267.9K claims and $21.7M revenue, and A4352 shows 63.7K claims and $14.4M revenue. These three codes’ claim counts and dollar amounts indicate large recurring dispensing volumes of urinary catheters and insertion supplies rather than one-off durable device sales.

    Competitive standing within Oklahoma is strong for the provider’s primary lines: the provider ranks #1 of 2 in-state for A4353 (100th percentile) and #1 of 4 for A4351 (100th percentile), signaling it is a leading supplier of intermittent urinary catheters in the state. Many secondary ostomy and incontinence codes also show top state ranks of #1 with 100th percentile labels (for example A4344, A4385, A4409), which supports a view of statewide leadership across multiple related product categories.

    Not all ranking signals are identical: A4352 is listed as #1 of 1 providers in-state with a 0th percentile note and "no state peer volume comparison available," which means there is no meaningful in-state peer baseline for that curved-tip catheter product and the rank should be interpreted cautiously. Conversely, A4927 (Gloves, non-sterile, per 100) is flagged as an "extreme outlier, far above typical state volume for this code," indicating unusually high glove dispensing relative to other Oklahoma DME suppliers and a notable deviation from typical state volumes.

    The provider’s product scope extends beyond catheters into ostomy and continence supply lines: multiple ostomy-related codes (A4385, A4409, A4407, A4414, A4425, A5063, A5061) and incontinence products (T4526, T4534, T4527, T4522, T4530) are present in the top-25 list, contributing meaningful but much smaller shares of revenue (individual code revenues range from around $316.9K to $1.5M). This breadth suggests bundled distribution capability across continence and ostomy supplies in addition to high-volume catheter fulfillment.

    The payer mix is effectively single-payer at scale: there is no Medicare revenue recorded for this NPI and all reported lifetime federal program revenue is $157.7M from Medicaid, so analyses of reimbursement rates, utilization trends, or competitive position should be framed primarily around Medicaid. Operational or contracting strategies that depend on Medicare reimbursement dynamics would not apply here given the absence of Medicare billing.

    The provider is an established market participant with long tenure: the NPI was enumerated on 2005-10-28 (~21 years ago), indicating two decades of operation under this identifier which can support existing provider-payer relationships and sustained supply chain arrangements relevant to its concentrated product lines.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    106 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A4353Intermittent urinary catheter, with insertion supplies177,260$560$98.7M
    A4351Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each267,870$80$21.7M
    A4352Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each63,740$230$14.4M
    A4344Indwelling catheter, foley type, two-way, all silicone or polyurethane, each19,710$90$1.7M
    A4385Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each33,020$50$1.5M
    A4409Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each24,610$50$1.3M
    A4407Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each19,250$60$1.2M
    A4414Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each23,620$40$1M
    A4332Lubricant, individual sterile packet, each113,900$10$911.2K
    A4425Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each27,050$30$865.5K

    Showing 1–10 of 106

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Oklahoma median

    106 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A4353Intermittent urinary catheter, with insertion supplies11088,640$560$49.4M
    A4352Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each11063,740$230$14.4M
    T4534Youth sized disposable incontinence product, protective underwear/pull-on, each21031,380$180$5.6M
    A4351Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each11050$80$5.5M
    T4530Pediatric sized disposable incontinence product, brief/diaper, large size, each21016,270$100$1.6M
    T4521Adult sized disposable incontinence product, brief/diaper, small, each21011,700$110$1.3M
    B4035Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape9101,700$210$1M
    T4532Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each2109,020$80$689.1K
    A4407Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each1109,740$70$633.8K
    A4385Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each1102,360$50$567.3K

    Showing 1–10 of 106

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with 180 Medical Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    180 Medical, Inc.ALDurable Medical Equipment & Medical Supplies$0$6.8M
    180 Medical, Inc.NEDurable Medical Equipment & Medical Supplies$0$211.1K

    Nearby Providers

    Other providers in the same ZIP code as 180 Medical Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Iacc/ehi Nw, LLCOKGeneral Acute Care Hospital$0$4.3M
    Dental Depot Hefner StationOKGeneral Practice Dentistry$0$2.8M
    Variety Care, Inc.OKFederally Qualified Health Center (FQHC)$0$2.7M
    Aerocare Home Medical Equipment, Inc.OKOxygen Equipment & Supplies (DME)$0$1.6M
    Hometown Neurodiagnostics, LLC.OKEEG Specialist/Technologist$161.1K$504.4K
    Zrc Pharmacy, LLCOKCommunity/Retail Pharmacy$197.1K$0
    Modhi GudeOKEndocrinology, Diabetes & Metabolism Physician$103.2K$0
    Kate GlasgowOKPhysical Therapist$72.9K$0
    Waddah NassarOKFamily Medicine Physician$65.4K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicaid Revenue by Year vs. Oklahoma Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Oklahoma Distribution
    180 Medical Inc — 17 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma