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

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

Gould's Discount Medical LLC (NPI 1669417531)

Field	Value
Entity Type	Organization
Organization	Gould's Discount Medical LLC
Address	3901 Dutchmans Ln
City	Louisville
State	KY
ZIP	40207
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	June 17, 2006

Payer Source	Total Paid
Medicaid	$32.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

124 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	33,780	$190	$6.3M
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	76,470	$40	$2.8M
L3660	Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf	38,250	$50	$2.1M
L3809	Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type	11,860	$160	$1.9M
E0114	Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips	42,810	$40	$1.6M
L1833	Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf	3,830	$380	$1.5M
E0603	Breast pump, electric (ac and/or dc), any type	7,820	$160	$1.3M
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	31,450	$30	$1M
E0601	Continuous positive airway pressure (CPAP) device	28,380	$30	$851.5K
L1812	Knee orthosis, elastic with joints, prefabricated, off-the-shelf	10,570	$80	$845.7K

Showing 1–10 of 124

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

Gould's Discount Medical LLC — 22 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

124 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E1399	Durable medical equipment, miscellaneous	18	30	170	$600	$996.7K
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	19	60	840	$350	$641.2K
K0108	Wheelchair component or accessory, not otherwise specified	9	10	1,860	$220	$591.4K
L3660	Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf	1	10	430	$50	$531.1K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	13	20	2,220	$120	$530.7K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	1	160	5,820	$40	$416.1K
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	1	20	90	$190	$410.9K
L0650	Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid…	2	10	270	$740	$354.9K
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	7	10	1,200	$180	$353.7K
L1833	Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf	1	10	180	$420	$330.1K

Showing 1–10 of 124

Related Providers

Other providers that share a Tax Identification Number (TIN) with Gould's Discount Medical LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gould's Discount Medical LLC	IN	Durable Medical Equipment & Medical Supplies	$0	$2.6M

Nearby Providers

Other providers in the same ZIP code as Gould's Discount Medical LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Access Adult Health Day Care Center	KY	Adult Day Care Clinic/Center	$0	$71M
Baptist Healthcare System Inc.	KY	General Acute Care Hospital	$0	$62.4M
Commonwealth Pain Associates, PLLC	KY	Interventional Pain Medicine Physician	$0	$42.2M
Access Adult Health Day Care Center	KY	Adult Day Care Clinic/Center	$0	$32.6M
Path Forward Of Kentucky Inc.	KY	Community/Behavioral Health Agency	$0	$22.1M
Tatyanas Case Management, LLC	KY	Adult Day Care Clinic/Center	$0	$14.2M
Center For Behavioral Health Kentucky LLC	KY	Methadone Clinic	$299.5K	$13.2M
Pediatric And Neonatal Specialists	KY	Pediatrics Physician	$0	$8.8M
Emergency Medical Associates, Psc	KY	Emergency Medicine Physician	$0	$8M
Hmr Acquisition, Lca	KY	Case Manager/Care Coordinator	$0	$7M

Gould's Discount Medical LLC — 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