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    OpenPayerNPI Medicare & MedicaidZynex Medical Inc
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    Zynex Medical Inc — Billing Profile & Reimbursement Data

    NPI 1770511552 · Denver, CO · Durable Medical Equipment & Medical Supplies

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    Zynex Medical Inc is a durable medical equipment & medical supplies provider located in Denver, Colorado. This profile covers 0 Medicare and 20 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationZynex Medical Inc
    Address8181 E Tufts Ave Ste 200
    CityDenver
    StateCO
    ZIP80237
    TaxonomyDurable Medical Equipment & Medical Supplies
    NPI EnumeratedJune 29, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$32.7M
    Medicare$0

    Key Findings

    This entity has no Medicare billing on file and reports $32.7M in lifetime Medicaid revenue, making its commercial footprint effectively single-payer Medicaid based on the available claims data. Analysts should treat Medicaid as the primary and near-exclusive revenue channel for this NPI when evaluating competitive exposure and network contracting risk.

    Revenue for Medicaid is highly concentrated: the precomputed top-three Medicaid codes account for 84.7% of this provider's total Medicaid revenue. Those three codes are A4556 ($22.2M, 321.1K claims, $69 avg paid/claim, 67.8%), A4595 ($3.3M, 208.2K claims, $16 avg paid/claim, 10.2%), and E0730 ($2.2M, 129.1K claims, $17 avg paid/claim, 6.7%).

    The code mix and volumes indicate a core business built around electrical-stimulation products and high-volume consumable supplies: A4556 (electrodes), A4595 (electrical stimulator supplies, 2 lead), E0730 (TENS device, four or more leads), plus large counts for replacement batteries A4630 (218.9K claims). This pattern is consistent with a DME supplier that sells durable devices but relies on recurring, high-frequency consumable billing for the bulk of revenue.

    State-level competitive standing is dominant for the provider’s top DME lines: it ranks #1 in-state for A4556, A4595, E0730 and multiple other codes and is listed at the 100th percentile for those comparisons, indicating it is the leading Medicaid supplier in Colorado for these items. For several additional codes (for example E0745, L0627, E0731) the data show #1 of 1 providers with a 0th percentile note, meaning no direct peer-volume comparison is available in the state dataset.

    There are clear statistical outliers in the provider’s Medicaid profile that merit attention: E1399 (Durable medical equipment, miscellaneous) is flagged as an "extreme outlier, far above typical state volume" (6.9K claims, $55.4K revenue) and both A4595 and E0730 are described as "notably above typical state volume." These labels signal unusually high state-level volume relative to peers for those supply categories.

    Despite concentration in stimulation supplies, the provider shows some product breadth beyond electrodes and TENS devices, with material Medicaid revenue in orthotic codes such as L0637 ($476.7K, 2.7K claims) and L1851 ($186.7K, 1.4K claims), and niche therapeutic items like E0218 (2.9K claims, $8.6K revenue). This mix suggests the operation supplies both high-frequency consumables and lower-volume, higher-priced orthoses and therapeutic equipment.

    Unit economics implied by reported averages show a reliance on high-volume, lower-paid-per-claim items: A4556 averages $69 paid/claim, A4595 $16 paid/claim, and E0730 $17 paid/claim while individual claim counts reach hundreds of thousands for the top consumables. That combination points to margin sensitivity to claim volume and supply costs rather than to high per-unit reimbursement.

    The provider’s NPI was enumerated on 2006-06-29 (~20 years ago), indicating a long-tenured presence in the market. Combined with the dominant in-state rankings for key DME consumables, tenure supports a profile of an established, specialized Medicaid-focused DME supplier with entrenched share in electrical-stimulation supplies.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A4556Electrodes, (e.g., apnea monitor), per pair321,050$70$22.2M
    A4595Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes)208,200$20$3.3M
    E0730Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation129,130$20$2.2M
    E0745Neuromuscular stimulator, electronic shock unit79,320$30$2.1M
    A4630Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient218,910$10$1.5M
    L0637Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid…2,720$180$476.7K
    A4557Lead wires, (e.g., apnea monitor), per pair71,660$1$286.6K
    L1851Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus…1,450$130$186.7K
    E0720Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation7,040$10$70.4K
    L0650Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid…690$90$61.1K

    Showing 1–10 of 20

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Colorado median

    20 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A4556Electrodes, (e.g., apnea monitor), per pair110900$70$7.8M
    E0745Neuromuscular stimulator, electronic shock unit11079,320$30$2.2M
    A4630Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient110109,770$10$805.6K
    A4595Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes)1101,310$20$711K
    A9999Miscellaneous dme supply or accessory, not otherwise specified19202,720$80$377.9K
    E0730Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation110100$20$366.3K
    L0637Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid…1101,370$180$244.4K
    E0218Fluid circulating cold pad with pump, any type110850$150$159K
    E1399Durable medical equipment, miscellaneous2250100$340$116K
    A4557Lead wires, (e.g., apnea monitor), per pair110370$1$104.6K

    Showing 1–10 of 20

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Modivcare Solutions, LLCCOTransportation Broker$0$3.1B
    High Five Home Care LLC.COIn Home Supportive Care Agency$0$5.8M
    Daniel CallaghanCODermatology Physician$604.4K$0
    Pradeep RaiCOSurgery Physician$98.7K$0
    Donald ForestCOInternal Medicine Physician$76.3K$0
    Ashley ChenCOFamily Medicine Physician$70.6K$0
    Frederick MechanikCOPrimary Podiatric Medicine Podiatrist$61.7K$0
    Fernando GuarderasCOFamily Medicine Physician$36.5K$0
    Steven WilkCODentist$14.4K$0
    Steven MiloCOAnesthesiology Physician$4.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Colorado Providers
    5 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Colorado Distribution
    Zynex Medical Inc — 13 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado