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

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

Sai Medical Inc (NPI 1720075922)

Field	Value
Entity Type	Organization
Organization	Sai Medical Inc
Address	303 E North Ave Lowr 100
City	Northlake
State	IL
ZIP	60164
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	October 3, 2005

Payer Source	Total Paid
Medicaid	$5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	8,510	$140	$1.2M
T4541	Incontinence product, disposable underpad, large, each	15,430	$70	$1.1M
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	4,380	$180	$766.3K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	4,910	$130	$657.3K
T4543	Adult sized disposable incontinence product, protective brief/diaper, above extra large, each	2,210	$270	$589K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	7,830	$50	$368K
A4353	Intermittent urinary catheter, with insertion supplies	230	$820	$187.6K
A4927	Gloves, non-sterile, per 100	6,970	$10	$97.5K
A4670	Automatic blood pressure monitor	960	$60	$56.4K
E0240	Bath/shower chair, with or without wheels, any size	360	$100	$36.4K

Showing 1–10 of 19

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Illinois Distribution

Sai Medical Inc — 0 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A4353	Intermittent urinary catheter, with insertion supplies	9	10	1,690	$650	$1.8M
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	16	90	1,400	$80	$727.1K
T4541	Incontinence product, disposable underpad, large, each	22	130	2,190	$50	$644.7K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	18	80	1,230	$100	$639.8K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	14	80	1,340	$80	$616.4K
T4543	Adult sized disposable incontinence product, protective brief/diaper, above extra large, each	7	30	690	$140	$559K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	31	110	2,170	$30	$506.1K
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…	29	30	1,020	$80	$291.3K
A4927	Gloves, non-sterile, per 100	30	110	2,260	$10	$149.8K
A4670	Automatic blood pressure monitor	16	50	250	$50	$101.6K

Showing 1–10 of 19

Sai Medical Inc — Billing Profile & Reimbursement Data

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Sai Medical 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