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

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

Special Needs Network (NPI 1780868224)

Field	Value
Entity Type	Organization
Organization	Special Needs Network
Address	6612 Fig St # 103
City	Arvada
State	CO
ZIP	80004
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	December 19, 2007

Payer Source	Total Paid
Medicaid	$8.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	5,930	$190	$1.1M
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…	1,100	$1,010	$1.1M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	3,730	$270	$1M
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,…	2,320	$350	$815.4K
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	1,830	$380	$699.8K
B9998	Noc for enteral supplies	4,710	$130	$598.2K
A4554	Disposable underpads, all sizes	6,130	$60	$373.7K
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	2,240	$160	$347.5K
A4927	Gloves, non-sterile, per 100	10,020	$30	$290.5K
T4533	Youth sized disposable incontinence product, brief/diaper, each	2,210	$130	$276.1K

Showing 1–10 of 36

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

Special Needs Network — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

36 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…	9	10	1,430	$720	$3.4M
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,…	11	20	2,100	$310	$2.6M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	10	20	2,840	$230	$1.8M
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	1,400	$340	$1.4M
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	7	10	2,420	$140	$1.3M
B9998	Noc for enteral supplies	7	10	4,710	$80	$1M
B4155	Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium…	14	20	840	$310	$871K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	36	40	2,280	$150	$795.4K
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	5	20	2,210	$170	$748.4K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	21	40	1,900	$120	$627.8K

Showing 1–10 of 36

Nearby Providers

Other providers in the same ZIP code as Special Needs Network, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wadsworth Medical Arts Pharmacy LLC	CO	Long Term Care Pharmacy	$0	$14.7M
Metro Community Provider Network Inc	CO	Federally Qualified Health Center (FQHC)	$0	$9.3M
Green Lakeview Adult Daycare, LLC	CO	Adult Day Care Clinic/Center	$0	$4.9M
Reza Esfahani	CO	Family Medicine Physician	$108K	$0
Stephanie Vela	CO	Gerontology Nurse Practitioner	$90.5K	$0
Ellie Titarenko	CO	Adult Health Nurse Practitioner	$79.5K	$0
Timothy Shank	CO	Physician Assistant	$60.3K	$0

Special Needs Network — Billing Profile & Reimbursement Data

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Special Needs Network — 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