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

Why is the Medicaid comparison limited to New Hampshire 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. New Hampshire (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.

Keene Medical Products, LLC (NPI 1700877206)

Field	Value
Entity Type	Organization
Organization	Keene Medical Products, LLC
Address	5 Landing Rd
City	Enfield
State	NH
ZIP	03748
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	November 3, 2005

Payer Source	Total Paid
Medicaid	$10.4M
Medicare	$0

Key Findings

This provider reports no Medicare billing on file (none) and $10.4M in lifetime Medicaid revenue, making its external payer footprint effectively single-payer Medicaid based on available data. Analysts should treat Medicaid as the primary commercial lens for performance and competitive benchmarking rather than Medicare activity. Someone reviewing payer mix should therefore focus on Medicaid utilization and state-level market dynamics rather than cross-payer comparisons.

Revenue is concentrated in a small set of Medicaid codes: the top 3 Medicaid codes by revenue account for 36.9% of total Medicaid revenue. The largest single code is E1390 (E1390 – Oxygen concentrator) at $1.7M (19.1%), followed by A7030 (A7030 – Full face mask) at $902.7K (10.1%) and E0601 (E0601 – CPAP device) at $693.3K (7.7%), indicating a heavy reliance on a small group of respiratory and sleep-related items.

The code mix points to an operational focus on respiratory care and sleep-disordered breathing supplies: high-volume lines include oxygen concentrators and related rentals (E1390, E1392, K0738), positive airway pressure devices and interfaces (E0601, A7030, A7031, A7034, A7035), heated tubing/humidifiers (A4604, E0562), and home ventilators (E0466). At the same time, the provider carries ancillary DME categories such as intermittent catheters (A4351), enteral feeding kits (), and a range of incontinence products (, , ), suggesting a broad DME supply business with a respiratory/sleep specialty.

Competitive standing within New Hampshire is dominant for many respiratory and CPAP-related codes: the provider ranks #1 of 22 for E1390 (100th percentile; notably above typical state volume), #1 of 18 for A7030 (100th percentile; extreme outlier), and #1 of 20 for E0601 (100th percentile; extreme outlier). Multiple other respiratory support and accessory codes also rank at the 100th percentile in-state (for example A7031, A7034, A7035, A4604, E0562, E0570), which characterizes the organization as a major, high-volume statewide supplier in those service lines.

Several specific codes are flagged as statistical outliers or notably above typical state volume, which underscores unusually high claim volumes in respiratory and PAP supplies: A7030 and E0601 are described as "extreme outlier, far above typical state volume," while E1390, A7031, E0470, E1392 and K0738 are "notably above typical state volume." These descriptors suggest the provider accounts for a disproportionate share of state Medicaid utilization in oxygen and sleep-respiratory categories and should be prioritized for benchmarking or contract review against peers.

The provider’s product mix indicates a hybrid operational model that includes both durable equipment rentals and high-volume disposable/accessory distribution: rental-type codes such as E1392 and K0738 appear alongside high-claim consumables like replacement masks, cushions, headgear, heated tubing, and disposable incontinence products (A7030, A7031, A7035, A4604, T4526). This pattern is consistent with businesses that maintain a fleet of oxygen/ventilator rentals while generating recurring revenue from accessories and consumables, which can influence inventory, billing cadence, and contract structuring.

The provider has a long-tenured NPI (enumerated 2005-11-03 (~21 years ago)), indicating established presence and operational continuity in the market. Combine that tenure with concentrated Medicaid revenue and repeated top-in-state rankings to infer sustained specialization in respiratory DME rather than a recent or transient entrant.

For payer and contracting teams, the profile signals clear opportunities and priorities: the organization is a dominant in-state supplier for respiratory and sleep-disorder equipment and accessories, accounting for concentrated Medicaid revenue (top-3 share 36.9%), and therefore may be a strategic counterparty for network inclusion, pricing negotiations, or utilization management programs focused on oxygen and PAP therapies. Given the high state-percentile ranks and numerous "extreme outlier" flags, payers should include this provider in targeted audits, utilization comparisons, or contract performance reviews without implying misconduct—the patterns are primarily operational and market-concentration signals.

Medicaid: Complete Services Breakdown

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

90 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	21,450	$80	$1.7M
A7030	Full face mask used with positive airway pressure device, each	8,210	$110	$902.7K
E0601	Continuous positive airway pressure (CPAP) device	12,380	$60	$693.3K
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	2,980	$180	$534K
A4604	Tubing with integrated heating element for use with positive airway pressure device	12,300	$40	$492.1K
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	510	$770	$390.7K
A7031	Face mask interface, replacement for full face mask, each	8,250	$50	$387.8K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	3,780	$80	$314.1K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	4,260	$70	$302.5K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	3,460	$80	$287.3K

Showing 1–10 of 90

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Hampshire Distribution

Keene Medical Products, LLC — 17 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. New Hampshire median

90 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	7	10	1,100	$480	$1.7M
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	7	10	1,140	$210	$704.5K
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	1	10	2,420	$290	$553.8K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	3	10	800	$20	$552.2K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	1	20	4,360	$60	$360.5K
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	2	10	770	$350	$271.9K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	2	10	2,240	$90	$219.6K
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	2	10	1,000	$90	$207.5K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	2	10	1,920	$90	$193.2K
E0445	Oximeter device for measuring blood oxygen levels non-invasively	1	10	1,140	$170	$190.7K

Showing 1–10 of 90

Related Providers

Other providers that share a Tax Identification Number (TIN) with Keene Medical Products, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Keene Medical Products, LLC	NH	Durable Medical Equipment & Medical Supplies	$0	$2.1M
Keene Medical Products, LLC	VT	Durable Medical Equipment & Medical Supplies	$0	$1.7M
Keene Medical Products, LLC	VT	Durable Medical Equipment & Medical Supplies	$0	$678.6K
Keene Medical Products, LLC	NH	Durable Medical Equipment & Medical Supplies	$0	$542.5K
Keene Medical Products, LLC	VT	Durable Medical Equipment & Medical Supplies	$0	$166.2K
Keene Medical Products, LLC	VT	Durable Medical Equipment & Medical Supplies	$0	$143.1K

Nearby Providers

Other providers in the same ZIP code as Keene Medical Products, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Visions For Creative Housing Solutions, Inc.	NH	Developmentally Disabled Services Day Training Agency	$0	$2.6M
Lincare Inc	NH	Durable Medical Equipment & Medical Supplies	$0	$456.4K
Mascoma Valley Regional School District	NH	Local Education Agency (LEA)	$0	$415.9K
Carol Andrew	NH	Pediatric Occupational Therapist	$0	$69.4K
Matthew Holcomb	NH	Clinical Neuropsychologist	$17K	$0

Keene Medical Products, LLC — Billing Profile & Reimbursement Data

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Keene Medical Products, 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