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

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

Carmens Pharmacy & Medical Supplies Inc (NPI 1750488680)

Field	Value
Entity Type	Organization
Organization	Carmens Pharmacy & Medical Supplies Inc
Address	418 River St
City	Paterson
State	NJ
ZIP	07524
Taxonomy	Community/Retail Pharmacy
NPI Enumerated	September 20, 2006

Payer Source	Total Paid
Medicaid	$8.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

73 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E1399	Durable medical equipment, miscellaneous	7,750	$230	$1.8M
A4554	Disposable underpads, all sizes	25,560	$60	$1.5M
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	8,920	$110	$1M
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	8,660	$90	$779K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	3,370	$120	$401K
A4927	Gloves, non-sterile, per 100	24,880	$20	$373.2K
A6250	Skin sealants, protectants, moisturizers, ointments, any type, any size	21,370	$10	$299.2K
E0570	Nebulizer, with compressor	4,550	$50	$227.3K
E0246	Transfer tub rail attachment	2,220	$90	$204.2K
A6530	Gradient compression stocking, below knee, 18-30 mmhg, each	2,070	$80	$171.8K

Showing 1–10 of 73

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Jersey Distribution

Carmens Pharmacy & Medical Supplies Inc — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

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

73 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	11	20	1,230	$60	$1.2M
T4522	Adult sized disposable incontinence product, brief/diaper, medium, each	10	10	1,060	$40	$1.1M
T4524	Adult sized disposable incontinence product, brief/diaper, extra large, each	8	20	620	$70	$728.7K
A4554	Disposable underpads, all sizes	3	40	1,080	$30	$564K
L1971	Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment	6	10	390	$230	$536.5K
E1399	Durable medical equipment, miscellaneous	3	10	300	$110	$415.8K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	2	30	550	$100	$224.3K
L3216	Orthopedic footwear, ladies shoe, depth inlay, each	16	50	1,230	$60	$208K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	2	20	380	$80	$200.2K
E0445	Oximeter device for measuring blood oxygen levels non-invasively	7	10	40	$100	$193.2K

Showing 1–10 of 73

Nearby Providers

Other providers in the same ZIP code as Carmens Pharmacy & Medical Supplies Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Luis Luna	NJ	Internal Medicine Physician	$75.3K	$424.3K

Carmens Pharmacy & Medical Supplies Inc — Billing Profile & Reimbursement Data

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Carmens Pharmacy & Medical Supplies 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