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    OpenPayerNPI Medicare & MedicaidBilling Specialists Inc
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    Billing Specialists Inc — Billing Profile & Reimbursement Data

    NPI 1699738765 · Gastonia, NC · Durable Medical Equipment & Medical Supplies

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    Billing Specialists Inc is a durable medical equipment & medical supplies provider located in Gastonia, North Carolina. This profile covers 0 Medicare and 28 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
    OrganizationBilling Specialists Inc
    Address2501 N Chester St
    CityGastonia
    StateNC
    ZIP28052
    TaxonomyDurable Medical Equipment & Medical Supplies
    NPI EnumeratedApril 10, 2006

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

    Payer SourceTotal Paid
    Medicaid$11.8M
    Medicare$0

    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.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each25,880$110$2.8M
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each21,970$100$2.2M
    A4927Gloves, non-sterile, per 10067,650$30$2.2M
    A4554Disposable underpads, all sizes47,970$30$1.6M
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each12,930$110$1.4M
    T4544Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each2,860$140$391.1K
    T4523Adult sized disposable incontinence product, brief/diaper, large, each2,640$120$322.4K
    T4524Adult sized disposable incontinence product, brief/diaper, extra large, each2,290$120$268K
    T4525Adult sized disposable incontinence product, protective underwear/pull-on, small size, each1,760$90$158.4K
    T4522Adult sized disposable incontinence product, brief/diaper, medium, each1,300$110$143.3K

    Showing 1–10 of 28

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. North Carolina median

    28 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    B4035Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape21503,660$140$902.9K
    T4544Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each1140590$160$747.6K
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each7100860$100$640.4K
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each6130610$110$637.1K
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each8110480$110$515K
    A4554Disposable underpads, all sizes102001,300$40$493.2K
    T4543Adult sized disposable incontinence product, protective brief/diaper, above extra large, each1330260$170$464.3K
    T4525Adult sized disposable incontinence product, protective underwear/pull-on, small size, each1030940$90$462.4K
    A4927Gloves, non-sterile, per 10041501,490$30$389.7K
    T4522Adult sized disposable incontinence product, brief/diaper, medium, each1440590$100$290.2K

    Showing 1–10 of 28

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Support IncorporatedNCCommunity/Behavioral Health Agency$0$37.8M
    Gaston Family Health Services, Inc.NCFederally Qualified Health Center (FQHC)$0$15.5M
    Steps For Success Family ServicesNCEmotionally Disturbed Childrens' Residential Treatment Facility$0$14.9M
    Gaston CountyNCLand Ambulance$2.4M$10.4M
    Gaston Family Health Services, Inc.NCFederally Qualified Health Center (FQHC)$0$9.3M
    Gaston Skills, IncNCCommunity/Behavioral Health Agency$0$7.4M
    William AnthonyNCFamily Medicine Physician$201.3K$0
    Colin MoffettNCPrimary Podiatric Medicine Podiatrist$66.5K$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. North Carolina Providers
    4 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Carolina Distribution
    Billing Specialists Inc — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina