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

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

Pennyrile Home Medical Inc (NPI 1740215672)

Field	Value
Entity Type	Organization
Organization	Pennyrile Home Medical Inc
Address	7654 Eagle Way
City	Hopkinsville
State	KY
ZIP	42240
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	July 11, 2006

Payer Source	Total Paid
Medicaid	$3.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

52 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	3,110	$230	$725.1K
B9998	Noc for enteral supplies	4,040	$120	$464.6K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	8,940	$50	$402.2K
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…	460	$580	$265.1K
A9999	Miscellaneous dme supply or accessory, not otherwise specified	3,970	$50	$198.3K
E0445	Oximeter device for measuring blood oxygen levels non-invasively	1,700	$100	$167.8K
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,…	560	$250	$139.1K
E0601	Continuous positive airway pressure (CPAP) device	3,810	$40	$133.4K
E0570	Nebulizer, with compressor	1,310	$100	$125.6K
A4628	Oral and/or oropharyngeal suction catheter, each	1,890	$60	$117.3K

Showing 1–10 of 52

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

Pennyrile Home Medical Inc — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

52 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…	6	10	500	$320	$1.1M
E1399	Durable medical equipment, miscellaneous	21	30	170	$600	$996.7K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	7	20	2,220	$120	$530.7K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	60	160	5,820	$40	$416.1K
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	6	10	1,200	$180	$353.7K
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,…	8	10	830	$110	$314.9K
E0445	Oximeter device for measuring blood oxygen levels non-invasively	3	10	740	$120	$196K
B9998	Noc for enteral supplies	2	10	1,330	$40	$186.4K
K0823	Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds	5	10	630	$130	$152.5K
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	10	10	340	$90	$130.1K

Showing 1–10 of 52

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lifeskills, Inc.	KY	Developmentally Disabled Services Day Training Agency	$0	$87.9M
Jennie Stuart Medical Center Inc	KY	General Acute Care Hospital	$0	$50.8M
Pennyrile Area Develpoment District	KY	Supports Brokerage Agency	$0	$24.1M
Hands Of Hope Services, LLC	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$13.5M
Acsr, Inc.	KY	Adult Day Care Clinic/Center	$0	$10.4M
Redeemed And Restored, Inc.	KY	Substance Abuse Rehabilitation Facility	$0	$4.4M
Western Ky Medical, LLC	KY	Methadone Clinic	$82.9K	$4.3M
Fairview Physicians Network LLC	KY	Family Medicine Physician	$0	$4.4M
Hopkinsville-christian County Ambulance Service	KY	Land Ambulance	$921.8K	$2.3M
Air Evac Ems Inc	KY	Air Ambulance	$640.7K	$1.3M

Pennyrile Home Medical Inc — Billing Profile & Reimbursement Data

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Pennyrile Home 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

Nearby Providers

Frequently Asked Questions

References