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

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

Vgm Group, Inc. (NPI 1689665911)

Field	Value
Entity Type	Organization
Organization	Vgm Group, Inc.
Address	1111 Van Miller Way
City	Waterloo
State	IA
ZIP	50701
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	November 4, 2005

Payer Source	Total Paid
Medicaid	$54.4M
Medicare	$0

Key Findings

VGM GROUP, INC. is effectively a Medicaid-focused durable medical equipment and medical supplies vendor: the profile shows no Medicare billing on file while reported Medicaid revenue is $54.4M, indicating the organization operates as a single-payer (Medicaid) supplier at scale. The NPI was enumerated on 2005-11-04 (~21 years ago), providing a long tenure in the market that supports sustained Medicaid volume and product diversification.

Revenue concentration is meaningful within Medicaid: the precomputed top 3 Medicaid codes by revenue account for 25.3% of this provider's total Medicaid revenue, driven by T2029 ($3.5M, 9.7%), E1390 ($2.8M, 7.9%), and E0603 ($2.8M, 7.8%). This concentration shows a reliance on a relatively small set of high-volume product lines that together represent a quarter of Medicaid revenue.

The code mix signals core service lines: high revenue and claims for respiratory equipment and PAP supplies (E1390, E0601, A7030, A7031, A7034, A4604, E0562) indicate a major emphasis on oxygen and positive airway pressure therapy, while large volumes in incontinence supplies (T4526, T4527, T4535, T4528, T4541, T4523) point to a substantial disposable supply distribution operation. Breast pump and lactation items (E0603, K1005) and mobility/orthotic items (L4361, L3020) further suggest a broad DME assortment supporting home health needs across multiple clinical categories.

VGM GROUP shows dominant in-state competitive standing for many codes: multiple items rank #1 in-state at the 100th percentile and are labeled "extreme outlier" or "notably above typical" for state volume, including E1390 (ranks #1 of 94 providers in-state; 100th percentile; extreme outlier), E0603 (ranks #1 of 7 providers in-state; 100th percentile), and E0601 (ranks #1 of 108 providers in-state; 100th percentile; extreme outlier). These rank patterns indicate the provider is a major statewide supplier for key respiratory and PAP-related products.

For a subset of codes the provider is effectively unique in the state or lacks peer comparison: T2029 and S8121 each rank #1 of 1 providers in-state and are marked with a 0th percentile and "no state peer volume comparison available," implying either a one-off contract, unique waiver billing, or limited peer reporting for those specialized reimbursement items. This suggests niche capabilities or program-specific billing relationships for certain products.

The provider’s incontinence product volumes are exceptionally high and concentrated: items like T4535 (43.5K claims, $2.4M revenue), T4526 (35.2K claims, $2.8M revenue), and T4527 (31.1K claims, $2.7M revenue) all rank #1 in-state (100th percentile) and are described as "notably above typical" or "extreme outlier," signaling market leadership in disposable incontinence supplies and a likely operational focus on high-volume consumables distribution.

Respiratory device accessories and consumables also stand out as a revenue driver: A7030, A7031, A7034, A7035, A4604, and E0562 each show large claim counts and rank at or near the top in-state (many at 100th percentile; extreme outlier). The pattern of high-volume masks, interfaces, tubing, heated humidifiers, and sensor/CPAP components is consistent with a DME supplier that supports large-scale home respiratory therapy and CPAP patient populations.

While many top codes show extreme statewide dominance, a few entries reflect typical marketplace positioning rather than outlier status (for example, K0108 ranks #2 of 8 providers in-state at the 86th percentile and A9276 ranks #2 of 10 at the 89th percentile), indicating that for some accessory or niche items VGM GROUP is a strong but not singular competitor. This mixed competitive footprint—dominant for several high-volume categories and competitive for others—suggests a business model combining scale in core consumables with broader participation across supplementary DME lines.

Medicaid: Complete Services Breakdown

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

227 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2029	Specialized medical equipment, not otherwise specified, waiver	62,470	$60	$3.5M
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	33,870	$80	$2.8M
E0603	Breast pump, electric (ac and/or dc), any type	15,910	$180	$2.8M
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	35,230	$80	$2.8M
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	31,080	$90	$2.7M
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	43,490	$60	$2.4M
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	19,910	$110	$2.1M
E0601	Continuous positive airway pressure (CPAP) device	42,090	$40	$1.9M
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	2,220	$790	$1.7M
S8121	Oxygen contents, liquid, 1 unit equals 1 pound	13,690	$90	$1.2M

Showing 1–10 of 227

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Iowa Distribution

Vgm Group, Inc. — 18 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. Iowa median

227 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E2510	Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access	2	10	6,120	$4,640	$28.4M
T2029	Specialized medical equipment, not otherwise specified, waiver	1	10	62,470	$60	$3.5M
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	2	10	6,340	$450	$2.8M
A9274	External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories	2	10	4,720	$440	$2.1M
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	2	10	40	$390	$2M
S8121	Oxygen contents, liquid, 1 unit equals 1 pound	1	10	13,690	$90	$1.2M
T4541	Incontinence product, disposable underpad, large, each	1	10	32,560	$40	$1.2M
K1005	Disposable collection and storage bag for breast milk, any size, any type, each	1	10	16,480	$50	$815.7K
E0439	Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing	1	10	6,970	$90	$627.1K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	13	20	440	$140	$543.9K

Showing 1–10 of 227

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America Holdings	NC	Clinical Medical Laboratory	$214.6M	$1.4B
Laboratory Corporation Of America Holdings	NJ	Clinical Medical Laboratory	$143.3M	$717.5M
Natera, Inc.	CA	Clinical Medical Laboratory	$133.1M	$641.5M
Unilab Corporation	CA	Clinical Medical Laboratory	$94M	$668.5M
Bioreference Health, LLC	NJ	Clinical Medical Laboratory	$66.8M	$620.1M
Laboratory Corporation Of America Holdings	OH	Clinical Medical Laboratory	$56.9M	$617M
Millennium Health, LLC	CA	Clinical Medical Laboratory	$20.4M	$579.3M
Exact Sciences Laboratories, LLC	WI	Clinical Medical Laboratory	$299.3M	$276.5M
Aeroflow Inc.	NC	Durable Medical Equipment & Medical Supplies	$0	$571.9M
Zoll Services LLC	PA	Durable Medical Equipment & Medical Supplies	$0	$503.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Exceptional Persons Inc	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$80.3M
Goodwill Industries Of Ne Iowa Inc	IA	Community Based Hospice Care Agency	$0	$52.5M
Veridian Fiscal Solutions LLC	IA	Community/Behavioral Health Agency	$0	$47M
North Star Community Services, Inc	IA	Developmentally Disabled Services Day Training Agency	$0	$26.7M
Families First Counseling Services Of Iowa, L.L.C.	IA	Community/Behavioral Health Agency	$0	$16.3M
Resources For Human Development	IA	Community/Behavioral Health Agency	$0	$13.1M
Cedar Valley Community Support Services	IA	Developmentally Disabled Services Day Training Agency	$0	$11.1M
Vgm Group, Inc.	IA	Case Management Agency	$0	$5.4M
Pathways Behavioral Services Inc	IA	Community/Behavioral Health Agency	$0	$4.5M
Kenny Rodriguez	IA	Otolaryngology Physician	$3.2M	$0

Vgm Group, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References