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

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

Bedard Medical Inc (NPI 1730159617)

Field	Value
Entity Type	Organization
Organization	Bedard Medical Inc
Address	359 Minot Ave Ste A
City	Auburn
State	ME
ZIP	04210
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	January 24, 2006

Payer Source	Total Paid
Medicaid	$24.6M
Medicare	$0

Key Findings

BEDARD MEDICAL INC is effectively a single‑payer Medicaid supplier with total Medicaid revenue of $24.6M and no Medicare billing on file; the top three Medicaid codes (E0784, A4230, A9276) account for 52.4% of its Medicaid revenue, indicating a heavy concentration in a small set of high‑value product lines.

The provider’s code mix shows a clear DME focus on diabetes care: E0784 (external ambulatory infusion pump) generated $4.8M (3.9K claims, $1249 avg paid/claim), A4230 (infusion set for external insulin pump) generated $4.5M (11.5K claims, $393 avg paid/claim), and A9276 (CGM sensor, one‑day supply) generated $2.6M (6.5K claims, $403 avg paid/claim). This combination of pumps, infusion sets, and CGM sensors/supplies points to a specialized operation centered on insulin pump and continuous glucose monitoring ecosystems.

On several of its highest‑revenue items the provider appears to be the sole or dominant in‑state reporter: E0784, A4230, A9276, A4232, A4231 and A9277 all rank #1 of 1 providers in‑state with no state peer volume comparison available, suggesting BEDARD MEDICAL is the primary visible source for those product lines in the available Medicaid data. For other codes it ranks among limited peers (e.g., K0553 ranks #1 of 3 providers), indicating both niche dominance and some areas with modest competition.

Sales tax billing (S9999) is an outlier in this provider’s mix: S9999 appears as an extreme outlier with 53.5K claims and $428.3K revenue (1.9% of Medicaid revenue), described in the source as far above typical state volume. Several other supply codes are flagged as notably above typical state volume (for example, T4534, T4535, E0570, A4927, T4541), indicating that beyond diabetes DME the practice also reports unusually high volumes for certain continence and respiratory supplies compared with peers.

The provider also carries a broad continence and ostomy supply footprint alongside diabetes supplies: examples include T4527 ($878.1K), T4534 ($766.6K), T4528 ($674.5K), T4526 ($668.4K), A4351 ($803.1K), A4385 ($200.9K), and A4409 ($183.4K). These revenues and claim volumes show a substantial ancillary business in disposable incontinence products and ostomy supplies in addition to the insulin pump/CGM core.

Per‑claim reimbursements illustrate the mix of high‑cost durable items and lower‑cost recurring supplies: E0784 has a high average paid/claim of $1249 while A4230 is $393 and A9276 is $403, whereas syringe and accessory items such as A4232 average $97 per claim. This spread is consistent with a DME supplier combining capital equipment and high‑frequency consumables, which has operational implications for inventory, billing cadence, and cash flow.

The absence of Medicare billing and the concentration of more than half of Medicaid revenue in three diabetes‑related codes (52.4%) imply material business sensitivity to Medicaid pricing, coverage policy, and state procurement dynamics; changes to Medicaid reimbursement or limits on specific supply codes could disproportionately affect revenue. This payer dependence should be considered when assessing standing and risk relative to more diversified peers.

BEDARD MEDICAL’s NPI was enumerated on 2006-01-24 (approximately 20 years ago), indicating long tenure in the market; combined with the concentrated code mix and many #1 in‑state rankings, the data are consistent with an established, specialized DME supplier that has captured a meaningful share of specific diabetes and continence supply markets in Maine.

Medicaid: Complete Services Breakdown

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

97 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E0784	External ambulatory infusion pump, insulin	3,850	$1,250	$4.8M
A4230	Infusion set for external insulin pump, non needle cannula type	11,530	$390	$4.5M
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	6,520	$400	$2.6M
A4232	Syringe with needle for external insulin pump, sterile, 3 cc	13,150	$100	$1.3M
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	9,180	$130	$1.2M
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	7,030	$130	$878.1K
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	2,630	$310	$803.1K
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	4,480	$170	$766.6K
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	7,270	$100	$697.7K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	4,920	$140	$674.5K

Showing 1–10 of 97

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maine Distribution

Bedard Medical Inc — 11 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. Maine median

97 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E0784	External ambulatory infusion pump, insulin	1	10	3,850	$1,250	$4.8M
A4230	Infusion set for external insulin pump, non needle cannula type	1	10	11,530	$390	$4.5M
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	1	10	6,520	$400	$2.6M
A4232	Syringe with needle for external insulin pump, sterile, 3 cc	1	10	13,150	$100	$1.3M
A4231	Infusion set for external insulin pump, needle type	1	10	1,660	$360	$603.1K
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	1	10	1,040	$580	$602.1K
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	1	10	60	$130	$395.4K
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	1	10	3,640	$100	$348.9K
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	1	10	1,090	$280	$316.2K
A9279	Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified	3	10	390	$810	$279.7K

Showing 1–10 of 97

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John F Murphy Homes, Inc.	ME	Nursing Facility/Intermediate Care Facility	$0	$260.1M
Happy Haven, LLC	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$65.3M
Health Affiliates Maine, LLC	ME	Community/Behavioral Health Agency	$0	$61.6M
Opportunity Enterprises, Inc.	ME	Developmentally Disabled Services Day Training Agency	$0	$47.6M
New Communities, Inc.	ME	Mental Illness Community Based Residential Treatment Facility	$0	$26.4M
Personal Onsite Development	ME	Developmentally Disabled Services Day Training Agency	$0	$9M
Community Clinical Services, Inc.	ME	Federally Qualified Health Center (FQHC)	$0	$5.2M
New England Home Therapies, Inc.	ME	Oxygen Equipment & Supplies (DME)	$0	$4.2M
Maine Oral & Maxillofacial Surgery Associates, P.A.	ME	Oral and Maxillofacial Surgery (Dentist)	$0	$3.5M
City Of Auburn	ME	Land Ambulance	$317.2K	$2.7M

Bedard Medical 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