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

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

Edwards Health Care Services, Inc. (NPI 1780913392)

Field	Value
Entity Type	Organization
Organization	Edwards Health Care Services, Inc.
Address	147 Nc Highway 24
City	Morehead City
State	NC
ZIP	28557
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	December 10, 2009

Payer Source	Total Paid
Medicaid	$35.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A9274	External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories	18,680	$470	$8.8M
A4230	Infusion set for external insulin pump, non needle cannula type	47,420	$180	$8.7M
E0784	External ambulatory infusion pump, insulin	12,130	$640	$7.7M
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	39,690	$80	$3.3M
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	12,760	$230	$2.9M
K0552	Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each	46,030	$30	$1.6M
A4231	Infusion set for external insulin pump, needle type	4,920	$90	$452.2K
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	640	$470	$299.1K
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	7,660	$30	$260.5K
A4225	Supplies for external insulin infusion pump, syringe type cartridge, sterile, each	10,450	$20	$208.9K

Showing 1–10 of 23

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Carolina Distribution

Edwards Health Care Services, Inc. — 11 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

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

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9274	External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories	1	10	7,730	$490	$5.4M
E0784	External ambulatory infusion pump, insulin	1	10	730	$750	$3.3M
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	2	10	350	$310	$2.5M
A4230	Infusion set for external insulin pump, non needle cannula type	1	10	1,360	$190	$2M
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	2	10	3,240	$570	$1.9M
A9278	Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	2	10	20	$490	$583.9K
A4231	Infusion set for external insulin pump, needle type	1	10	4,920	$90	$453.3K
K0552	Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each	1	10	1,140	$30	$305.6K
A4250	Urine test or reagent strips or tablets (100 tablets or strips)	3	10	5,200	$30	$210.8K
A4238	Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	1	10	880	$170	$148.5K

Showing 1–10 of 23

Related Providers

Other providers that share a Tax Identification Number (TIN) with Edwards Health Care Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Edwards Health Care Services, Inc.	OH	Durable Medical Equipment & Medical Supplies	$0	$149.9M
Edwards Health Care Services, Inc.	KY	Durable Medical Equipment & Medical Supplies	$0	$81.9M
Edwards Health Care Services, Inc.	SC	Durable Medical Equipment & Medical Supplies	$0	$2.4M

Nearby Providers

Other providers in the same ZIP code as Edwards Health Care Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maxim Healthcare Services, Inc.	NC	Home Health Agency	$0	$28.8M
Pathways Human Services Of North Carolina, LLC	NC	Community/Behavioral Health Agency	$0	$10.3M
Carteret Clinic For Adolescents And Children	NC	Pediatrics Physician	$0	$8.7M
Morehead City Treatment Center, LLC	NC	Community/Behavioral Health Agency	$121.4K	$3.9M
Friendly Medical Transportation LLC	NC	Land Ambulance	$825.8K	$2.9M
Center Of Morehead City, LLC	NC	Ambulatory Surgical Clinic/Center	$888.8K	$0
Town Of Morehead City	NC	Land Ambulance	$441.5K	$387.2K
Mary Lawrence	NC	Endocrinology, Diabetes & Metabolism Physician	$581.6K	$0
John Gould	NC	Cardiovascular Disease Physician	$529.4K	$0
Garlon Campbell	NC	Pain Medicine (Anesthesiology) Physician	$495.6K	$0

Edwards Health Care Services, Inc. — Billing Profile & Reimbursement Data

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Edwards Health Care Services, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References