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

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

Community Health, Inc. (NPI 1700802147)

Field	Value
Entity Type	Organization
Organization	Community Health, Inc.
Address	16422 Highway 72
City	Rogersville
State	AL
ZIP	35652
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	July 15, 2006

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A5500	For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe	10,150	$50	$487.1K
A5513	For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35…	4,280	$110	$453.7K
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	2,210	$60	$137.1K
A4259	Lancets, per box of 100	2,010	$10	$26.1K
A4245	Alcohol wipes, per box	740	$10	$5.2K
E0607	Home blood glucose monitor	70	$40	$2.7K
A4256	Normal, low and high calibrator solution / chips	400	$10	$2K
A4258	Spring-powered device for lancet, each	80	$10	$920
A4234	Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each	260	$1	$260
A5512	For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base…	2,480	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Community Health, Inc. — 3 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A5513	For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35…	1	10	2,150	$110	$226.6K
E0607	Home blood glucose monitor	5	10	1,600	$50	$222.8K
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	6	140	130	$70	$164.2K
A4256	Normal, low and high calibrator solution / chips	6	10	1,440	$10	$105.3K
A4258	Spring-powered device for lancet, each	6	10	2,080	$10	$87.1K
A4245	Alcohol wipes, per box	5	10	5,300	$1	$84.4K
A5500	For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe	1	10	220	$50	$74.4K
A4259	Lancets, per box of 100	6	50	60	$10	$66.9K
A5512	For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base…	1	10	190	$1	$2.6K
A4234	Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each	1	10	260	$1	$380

Community Health, Inc. — Billing Profile & Reimbursement Data

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Community Health, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References