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

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

Sanford Healthcare Accessories, LLC (NPI 1770527590)

Field	Value
Entity Type	Organization
Organization	Sanford Healthcare Accessories, LLC
Address	3223 32nd Ave S
City	Fargo
State	ND
ZIP	58103
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	June 15, 2006

Payer Source	Total Paid
Medicaid	$4.8M
Medicare	$0

Key Findings

SANFORD HEALTHCARE ACCESSORIES, LLC is effectively a Medicaid-focused DME supplier with no Medicare billing on file and $4.8M in lifetime Medicaid revenue. The absence of Medicare claims indicates the organization operates primarily within the Medicaid population rather than a mixed Medicare/Medicaid DME market presence.

Revenue is concentrated in a small set of codes: the top 3 Medicaid codes account for 48.4% of this provider's Medicaid revenue, signaling dependence on a few high-volume product lines for nearly half of its Medicaid receipts. This concentration suggests operational emphasis and resource allocation toward those specific product categories.

Enteral feeding and related supplies are the largest service line: B4035 (enteral feeding supply kit) is the single biggest revenue driver at $1M (23.5% of Medicaid revenue) and B4161 and other enteral nutrition codes also appear in the list, indicating a substantial pediatric and enteral nutrition practice. The code mix (enteral kits, specialized enteral formulas, and infusion pumps) supports a business model centered on long-term nutrition support for patients requiring tube feeding.

Incontinence and continence supplies are another major service area, with A4520 (incontinence garment) producing $788.6K (17.7% of Medicaid revenue) and multiple underpad codes (A4554, T4541) present in the top 25. The provider ranks #1 of 14 statewide for A4520 and is described as notably above typical state volume, pointing to a dominant position in supplying incontinence products in North Dakota.

Respiratory equipment and sleep therapy supplies form a third distinct service line: E1390 (oxygen concentrator), E0601 (CPAP device), A7030/A7031 (full face mask and replacement interface), A4604 (heated tubing), and related humidifier and headgear codes together reflect significant volume in durable respiratory and PAP therapy support. Many of these respiratory codes are ranked at or near the top statewide (multiple #1 ranks and several labeled notably above typical state volume), indicating strong market share in respiratory DME within the state.

State-level competitive standing is strong across multiple categories: the provider frequently ranks #1 among statewide peers for many codes (including B4035, A4520, E1390, L4387, A7030 and others) and shows 100th percentile placements for numerous items, which denotes it is a dominant supplier for several product lines in North Dakota. Where the provider is not #1, it still appears near the top (for example E0601 ranks #2 of 15 at the 93rd percentile), reinforcing a leading statewide footprint in key DME segments.

The provider’s tenure is long-standing: its NPI was enumerated 2006-06-15 (~20 years ago), which suggests established operations and relationships in the Medicaid market and potential institutional experience managing durable medical equipment and supply workflows and compliance over time.

Several codes are flagged as "notably above typical" for state volume; these statistical outlier labels apply to multiple high-volume respiratory and PAP-related items (E1390, A7030, E0601, E0562, A7031, A4604) and to A4520 incontinence garments. Those descriptors imply the provider’s activity in these categories meaningfully exceeds typical in-state peers, consistent with its multiple #1 rank positions.

Although the provider leads within the state for many items, its product mix shows a balance across three operational pillars—enteral nutrition, incontinence supplies, and respiratory/PAP equipment—rather than reliance on a single code, even though the top three codes collectively represent 48.4% of Medicaid revenue. This diversified set of high-ranking codes reduces single-product operational risk while still reflecting concentrated expertise in a few clinical supply domains.

Medicaid: Complete Services Breakdown

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

90 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	3,480	$300	$1M
A4520	Incontinence garment, any type, (e.g., brief, diaper), each	7,970	$100	$788.6K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	7,340	$40	$323K
L4387	Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf	1,940	$130	$246.5K
A7030	Full face mask used with positive airway pressure device, each	2,490	$90	$214.3K
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…	300	$700	$210.2K
E0603	Breast pump, electric (ac and/or dc), any type	1,330	$140	$181.9K
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	1,240	$150	$181K
E0601	Continuous positive airway pressure (CPAP) device	4,670	$40	$177.6K
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	3,220	$40	$141.6K

Showing 1–10 of 90

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Dakota Distribution

Sanford Healthcare Accessories, LLC — 18 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. North Dakota median

90 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	1	10	170	$300	$371.7K
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…	1	10	300	$700	$210.2K
A4520	Incontinence garment, any type, (e.g., brief, diaper), each	1	10	1,170	$90	$201.3K
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	1	10	650	$150	$96.5K
L4387	Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf	1	10	420	$130	$88.3K
E0601	Continuous positive airway pressure (CPAP) device	2	20	1,010	$50	$78.3K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	1	20	1,240	$40	$78K
B9002	Enteral nutrition infusion pump, any type	1	10	640	$90	$58.1K
A7030	Full face mask used with positive airway pressure device, each	1	10	270	$100	$55.2K
E0603	Breast pump, electric (ac and/or dc), any type	1	10	170	$130	$52.1K

Showing 1–10 of 90

Related Providers

Other providers that share a Tax Identification Number (TIN) with Sanford Healthcare Accessories, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanford Healthcare Accessories, LLC	SD	Durable Medical Equipment & Medical Supplies	$0	$3.1M
Sanford Healthcare Accessories, LLC	ND	Durable Medical Equipment & Medical Supplies	$0	$1.1M
Sanford Healthcare Accessories, LLC	ND	Durable Medical Equipment & Medical Supplies	$0	$660K
Sanford Healthcare Accessories, LLC	ND	Durable Medical Equipment & Medical Supplies	$0	$356.1K
Sanford Healthcare Accessories, LLC	ND	Durable Medical Equipment & Medical Supplies	$0	$148.9K
Sanford Healthcare Accessories, LLC	SD	Durable Medical Equipment & Medical Supplies	$0	$120.4K
Sanford Healthcare Accessories, LLC	SD	Durable Medical Equipment & Medical Supplies	$0	$114.1K
Abigail Piazza	SD	Internal Medicine Physician	$71.2K	$0
Sanford Healthcare Accessories, LLC	SD	Durable Medical Equipment & Medical Supplies	$0	$71K
Sanford Healthcare Accessories, LLC	SD	Durable Medical Equipment & Medical Supplies	$0	$49.7K

Nearby Providers

Other providers in the same ZIP code as Sanford Healthcare Accessories, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Living Services, Inc	ND	Community/Behavioral Health Agency	$0	$104.6M
Villa Nazareth	ND	Community/Behavioral Health Agency	$0	$84.2M
Psj Acquisition LLC	ND	Psychiatric Hospital	$0	$32.3M
Vocational Training Center, Inc.	ND	Community/Behavioral Health Agency	$0	$28.5M
Fm Ambulance Service, Inc	ND	Land Ambulance	$2M	$23.8M
Innovis Health, LLC	ND	General Acute Care Hospital	$0	$25.5M
Fraser, Ltd.	ND	Community/Behavioral Health Agency	$0	$13.9M
Community Medical Services Montana Private LLC	ND	Methadone Clinic	$214.7K	$8.9M
Southeast Behavioral Health Clinic	ND	Substance Use Disorder Rehabilitation Clinic/Center	$0	$8.8M
Village Family Service Center	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.8M

Sanford Healthcare Accessories, LLC — Billing Profile & Reimbursement Data

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Sanford Healthcare Accessories, LLC — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References