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.

Adapthealth Patient Care Solutions LLC (NPI 1649244138)

Field	Value
Entity Type	Organization
Organization	Adapthealth Patient Care Solutions LLC
Address	1301 Riverside Dr Ste 1l
City	Beaver
State	PA
ZIP	15009
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	February 14, 2006

Payer Source	Total Paid
Medicaid	$93.6M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and is effectively a Medicaid-focused durable medical equipment supplier, reporting Total Medicaid revenue of $93.6M. The absence of Medicare activity combined with substantial Medicaid volume indicates the organization’s commercial footprint is concentrated in public-program contracting and state-level reimbursement channels rather than fee-for-service Medicare markets.

Revenue concentration is materially skewed toward a small set of product codes: the top 3 Medicaid codes by revenue account for 31.3% of this provider's total Medicaid revenue. The single largest code is A6211 ($9.1M, 13.0%), followed by A9276 ($6.7M, 9.6%) and A6210 ($6.2M, 8.7%), showing that a relatively narrow set of dressings and diabetes-monitoring supplies drive a large share of receipts.

The code mix signals core business lines in wound care and diabetes continuous glucose monitoring supplies: high-dollar foam dressings A6211 and A6210 are two of the top revenue drivers, while A9276 (CGM sensor) and supply-allowance codes A4239 ($4.4M) and K0553 ($3.5M) indicate substantial recurring diabetes-supply activity. These items are consumable, recurring-supply products consistent with a DME supplier model that emphasizes high-frequency, repeat fulfillment rather than one-time durable goods.

Competitive standing within Pennsylvania is dominant on multiple product lines: the provider ranks #1 and at the 100th percentile statewide for numerous codes, including A4554 (81.7K claims, $4.7M; labeled an extreme outlier), E0603 (37.6K claims, $4.6M; extreme outlier), T4523 (44.4K claims, $3.4M; extreme outlier), and several ostomy and catheter codes. Those rank and percentile signals characterize the organization as a major statewide player for incontinence products, breast pumps, ostomy supplies and many wound-care items rather than a modest participant.

Claim volumes reflect a high-throughput distribution operation: examples include 81.7K claims for A4554 (disposable underpads), 43.9K claims for A4239 (monthly CGM supply allowance), and 37.6K claims for E0603 (electric breast pump). These large claim counts, together with monthly-supply codes such as A4239 and K0553, suggest the business is structured around recurring monthly fulfillment and high-frequency logistics.

The provider’s product mix concentrates revenue in recurring consumables and a few high-volume categories, creating both strength and concentration risk: the top-3 share of 31.3% and multiple additional large single-code contributions (e.g., A4554 $4.7M, E0603 $4.6M) mean reimbursement or utilization changes for a handful of codes could materially affect overall Medicaid receipts. From a payer or contract-management perspective, that concentration makes targeted utilization reviews or vendor negotiations around those categories higher-impact.

Established tenure supports current market position: the NPI was enumerated 2006-02-14 (~20 years ago), indicating a long-standing operational presence that aligns with its statewide leadership on many codes. This longevity is consistent with the scale needed to reach the extreme outlier volumes observed in multiple consumable supply categories.

Beyond dressings and CGM supplies, the provider’s catalog appears broad within DME consumables: significant revenue and rank positions for ostomy barriers (A4409 $1.5M; A4385 $1.1M), urinary catheters (A4351 $2.2M; A4353 $2.1M), and multiple incontinence sizes (T4522/T4523/T4524) point to a diversified consumables portfolio serving chronic and post-acute needs. That breadth reinforces a business model focused on recurring patient supplies across multiple long-term care segments rather than narrow episodic equipment sales.

Medicaid: Complete Services Breakdown

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

212 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A6211	Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing	7,130	$1,280	$9.1M
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	27,410	$250	$6.7M
A6210	Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing	9,840	$630	$6.2M
A4554	Disposable underpads, all sizes	81,670	$60	$4.7M
E0603	Breast pump, electric (ac and/or dc), any type	37,630	$120	$4.6M
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	43,940	$100	$4.4M
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	38,820	$90	$3.5M
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	44,450	$80	$3.4M
A6212	Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing	30,520	$110	$3.4M
T4522	Adult sized disposable incontinence product, brief/diaper, medium, each	43,780	$60	$2.5M

Showing 1–10 of 212

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

Adapthealth Patient Care Solutions LLC — 20 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

212 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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	2	10	15,030	$320	$8.5M
A6211	Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing	1	10	3,570	$1,280	$4.6M
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	2	10	6,720	$460	$2.8M
E0784	External ambulatory infusion pump, insulin	1	10	1,470	$2,130	$2.1M
A9274	External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories	2	10	5,810	$340	$2M
A4230	Infusion set for external insulin pump, non needle cannula type	2	10	5,820	$120	$1.5M
A6197	Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing	1	10	5,020	$160	$1.2M
A4353	Intermittent urinary catheter, with insertion supplies	1	10	2,140	$430	$1.2M
A6210	Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing	1	10	2,090	$420	$1.1M
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	9	30	1,460	$130	$845.1K

Showing 1–10 of 212

Related Providers

Other providers that share a Tax Identification Number (TIN) with Adapthealth Patient Care Solutions LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Diabetes Supply Center Of The Midlands LLC	NE	Durable Medical Equipment & Medical Supplies	$0	$40.7M
Adapthealth Patient Care Solutions LLC	AL	Durable Medical Equipment & Medical Supplies	$0	$10M

Nearby Providers

Other providers in the same ZIP code as Adapthealth Patient Care Solutions LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Valley Medical Facilities Inc	PA	General Acute Care Hospital	$0	$10.3M
Western Pennsylvania Psych Care, Inc.	PA	Psychiatry Physician	$0	$8.1M
Non Profit Emergency Services Of Beaver County	PA	Land Ambulance	$694.7K	$5.7M
Arthur Brant	PA	Ophthalmology Physician	$370.5K	$107.1K
Sarmad Ashfaq	PA	Hospitalist Physician	$347K	$97K
Felice Esposito	PA	Diagnostic Radiology Physician	$153.2K	$212.3K
Carolyn Chen	PA	Anatomic Pathology & Clinical Pathology Physician	$105.4K	$71K
Upmc/hvhs Cancer Center	PA	Mobile Radiology Clinic/Center	$153.8K	$0
Samuel Yakish	PA	Cardiovascular Disease Physician	$113.9K	$15.4K
Frank Grisafi	PA	Orthopaedic Surgery of the Spine Physician	$44.5K	$0

Adapthealth Patient Care Solutions LLC — Billing Profile & Reimbursement Data

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Adapthealth Patient Care Solutions LLC — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References