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

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

Infant Formulas Inc. (NPI 1710918164)

Field	Value
Entity Type	Organization
Organization	Infant Formulas Inc.
Address	7625 Counts Massie Rd
City	North Little Rock
State	AR
ZIP	72113
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	July 5, 2006

Payer Source	Total Paid
Medicaid	$24.3M
Medicare	$0

Key Findings

INFANT FORMULAS INC. is effectively a Medicaid-focused durable medical equipment and supplies provider: there is no Medicare billing on file while Medicaid revenue totals $24.3M, indicating the provider’s operations and reimbursement exposure are concentrated in state Medicaid programs rather than federal Medicare. The provider’s NPI was enumerated on 2006-07-05 (~20 years ago), consistent with an established local business presence focused on Medicaid clients.

Revenue concentration is high: the precomputed top three Medicaid codes (T4532, B4160, B4100) account for 70.1% of this provider’s total Medicaid revenue. Individually these codes generate $9.5M (T4532, 39.2%), $4.8M (B4160, 19.9%), and $2.7M (B4100, 11.0%), which shows most Medicaid dollars flow through a small set of pediatric incontinence and enteral-nutrition product lines. This concentration implies material exposure if reimbursement or utilization for those specific codes changes.

The code mix shows a clear business specialization in pediatric supplies and enteral nutrition. T4532 (Pediatric sized disposable incontinence product, protective underwear/pull-on, large size) accounts for 75.7K claims at $126 avg paid/claim and $9.5M revenue, and B4160 and B4100 are similarly high-volume enteral nutrition and thickener items (34.9K claims at $139 avg paid/claim for B4160; 37.6K claims at $71 avg paid/claim for B4100). Together these patterns indicate the provider primarily dispenses pediatric incontinence products and both standard and calorically dense pediatric enteral formulas rather than a broad DME mix.

Market position within Arkansas is dominant for the top pediatric-focused lines. INFANT FORMULAS INC. ranks #1 in-state for T4532 (100th percentile; extreme outlier, far above typical state volume for this code), #1 for B4160 (100th percentile; notably above typical state volume), and #1 for B4100 (100th percentile; extreme outlier, far above typical state volume). Those #1 rankings and the outlier labels signify the provider is a leading statewide supplier for these pediatric products and captures a disproportionate share of in-state Medicaid claims for those codes.

Outside the top pediatric codes, the provider shows typical, less-differentiated participation across adult incontinence and accessory items. For example, T4526 (adult protective underwear/pull-on, medium) registers $938K revenue and ranks #4 of 59 in-state (95th percentile; typical, unremarkable volume), while multiple other adult-sized T45xx codes and A4554 (disposable underpads) appear at mid-to-lower state percentiles. This suggests INFANT FORMULAS INC. competes more modestly in the broader adult incontinence market while concentrating leadership in pediatric lines.

The presence of specialized enteral formula codes with elevated average paid-per-claim values signals clinically complex supply lines: B4160 averages $139 paid/claim and B4152 (calorically dense with $206 avg paid/claim) contributes $647.3K in revenue. High avg paid/claim on certain enteral codes combined with large unit volumes indicates the provider handles nutritionally specialized pediatric feeding products that typically require specific ordering and dispensing processes.

The provider’s reliance on a few high-volume codes creates both competitive advantage and operational risk: being the statewide #1 for several pediatric codes positions INFANT FORMULAS INC. as a go-to supplier of those items, but with top three codes comprising 70.1% of Medicaid revenue, any changes in state coverage, unit pricing, or utilization for T4532, B4160, or B4100 would disproportionately affect overall revenue. Monitoring policy, prior authorization, and utilization trends for these specific codes should be a priority for payers and analysts evaluating this vendor.

Several lower-revenue codes and quantities indicate breadth of product offerings beyond the dominant pediatric items, including adult incontinence sizes (e.g., T4527, T4529, T4530) and accessories (A4554, A4927). These entries generally rank in middle percentiles (many described as typical, unremarkable volume), which suggests the business supplements its pediatric specialization with standard DME inventory but does not lead the market on those lines.

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T4532	Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each	75,740	$130	$9.5M
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,…	34,880	$140	$4.8M
B4100	Food thickener, administered orally, per ounce	37,610	$70	$2.7M
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	14,650	$140	$2.1M
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	8,770	$110	$938K
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include…	3,140	$210	$647.3K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	5,160	$120	$593.6K
T4529	Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each	4,160	$110	$440.4K
T4530	Pediatric sized disposable incontinence product, brief/diaper, large size, each	3,760	$120	$435.6K
T4533	Youth sized disposable incontinence product, brief/diaper, each	3,840	$100	$399.7K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arkansas Distribution

Infant Formulas Inc. — 6 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. Arkansas median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T4532	Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each	1	20	1,360	$120	$1.2M
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,…	1	20	2,220	$140	$894.9K
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	1	20	830	$150	$527.5K
T4531	Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each	4	10	1,110	$110	$453.5K
B4100	Food thickener, administered orally, per ounce	1	10	760	$90	$381.1K
T4530	Pediatric sized disposable incontinence product, brief/diaper, large size, each	3	10	3,760	$110	$380.8K
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…	13	10	600	$360	$355.4K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	8	60	1,870	$90	$291.7K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	4	60	1,500	$90	$254.7K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	44	60	1,750	$60	$237.4K

Showing 1–10 of 22

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Palco, Inc.	AR	Supports Brokerage Agency	$0	$436.4M
Palco, Inc.	AR	Supports Brokerage Agency	$0	$23.7M
The Manor	AR	Assisted Living Facility	$0	$5.7M
Lincare Inc	AR	Durable Medical Equipment & Medical Supplies	$0	$4.2M
Arkansas Health Group	AR	Internal Medicine Physician	$0	$2M
Shaker Qaqish	AR	Nephrology Physician	$294.7K	$18.1K
Jessica Upchurch	AR	Family Nurse Practitioner	$157.5K	$0
Suman Siddamreddy	AR	Internal Medicine Physician	$129.6K	$0
David Haas	AR	Psychiatry Physician	$128.4K	$0
Jeffrey Carfagno	AR	Family Medicine Physician	$98.8K	$2.1K

Infant Formulas Inc. — Billing Profile & Reimbursement Data

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Infant Formulas 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

Nearby Providers

Frequently Asked Questions

References