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NPI 1841479573 · Valencia, CA · Durable Medical Equipment & Medical Supplies
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Advanced Bionics, LLC. is a durable medical equipment & medical supplies provider located in Valencia, California. This profile covers 9 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Advanced Bionics, LLC. |
| Address | 28515 Westinghouse Pl |
| City | Valencia |
| State | CA |
| ZIP | 91355 |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| NPI Enumerated | October 30, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $25.3M |
| Medicare | $6.9M |
ADVANCED BIONICS, LLC. operates squarely in the cochlear-implant durable medical equipment niche, consistent with its taxonomy of Durable Medical Equipment & Medical Supplies; its top-revenue codes are replacement external speech processors and related accessories (notably L8619, L8624, L8615). This operational focus is reflected across both payers and aligns with device supply, replacement and consumable service lines rather than a broad multi-specialty durable equipment portfolio.
Revenue is highly concentrated in a very small set of prosthetic/device codes for each payer: the top 3 Medicare codes account for 98.2% of its total Medicare revenue, and the top 3 Medicaid codes account for 97.9% of its total Medicaid revenue. In particular, L8619 alone accounts for $5.9M (85.1% of Medicare revenue) and $21.8M (86.2% of Medicaid revenue), indicating this single replacement speech-processor code drives the majority of billing.
The provider’s payer mix is heavily skewed toward Medicaid by scale: reported Medicaid revenue is $25.3M versus $6.9M in Medicare. This suggests the organization’s commercial footprint and operational throughput are primarily supporting Medicaid beneficiaries for cochlear-implant equipment and replacements.
Nationally for Medicare, ADVANCED BIONICS is a visible but not dominant participant on its primary items: L8619 ranks #2 of 4 providers nationally (67th percentile; typical, unremarkable volume) and L8624 ranks #2 of 3 providers nationally (50th percentile; typical, unremarkable volume). Some Medicare codes (for example L8615 and L8616) show a rank of #1 of 1 with no national peer comparison available, which signals limited peer reporting for those specific replacement parts rather than clear market dominance.
Within California Medicaid reporting the provider appears to be the sole documented in-state supplier for its core cochlear-implant lines — L8619, L8624 and L8615 each rank #1 of 1 providers in-state (0th percentile; no state peer volume comparison available). That statewide exclusivity in the Medicaid dataset for these codes positions the firm as the de facto in-state supplier for replacement processors and many accessory items under Medicaid reporting.
The provider has long tenure in the NPI registry (enumerated 2007-10-30, ~19 years ago), indicating established operations and likely mature billing/contracting processes. Combined with concentrated device expertise, the longevity supports expectations of continuing supply relationships with payers and facilities that manage cochlear implant patients.
Operationally, the billing pattern shows a mix of higher-dollar device replacements and high-volume consumables: Medicaid shows 4.5K claims for L8619 and 10.2K claims for L8624, while Medicare shows 816 claims for L8619 and 4.1K claims for L8624. These counts reinforce a business model centered on recurring replacement parts and batteries in addition to occasional higher-priced processor replacements.
Several lower-revenue codes display rank/percentile signals that reflect sparse peer reporting rather than exceptional practice-level outperformance: examples include Medicare L8615 and L8616 (each #1 of 1; 0th percentile; no national peer volume comparison available) and multiple Medicaid codes that rank #1 of 1 in-state (0th percentile; no state peer volume comparison available). Conversely, a few codes show top-percentile ranks with small revenue shares (for example Medicare L8625 ranks #1 of 2, 100th percentile; typical, unremarkable volume), suggesting that percentile extremes in this dataset often stem from limited comparator pools rather than clear statistical outliers in absolute volume.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| L8619 | Cochlear implant, external speech processor and controller, integrated system, replacement | 820 | $7,190 | $5.9M |
| L8624 | Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each | 4,130 | $140 | $562.2K |
| L8615 | Headset/headpiece for use with cochlear implant device, replacement | 880 | $390 | $341.6K |
| L8616 | Microphone for use with cochlear implant device, replacement | 870 | $90 | $79.3K |
| L7510 | Repair of prosthetic device, repair or replace minor parts | 40 | $600 | $25.6K |
| L8625 | External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each | 50 | $150 | $7.7K |
| L8618 | Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement | 330 | $20 | $6.9K |
| L8623 | Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each | 60 | $50 | $3.2K |
| L8621 | Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each | 1,250 | $1 | $1.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| L8619 | Cochlear implant, external speech processor and controller, integrated system, replacement | 4,530 | $4,810 | $21.8M |
| L8624 | Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each | 10,230 | $170 | $1.8M |
| L8615 | Headset/headpiece for use with cochlear implant device, replacement | 4,990 | $240 | $1.2M |
| L8616 | Microphone for use with cochlear implant device, replacement | 4,450 | $70 | $324.6K |
| L7510 | Repair of prosthetic device, repair or replace minor parts | 710 | $230 | $161.1K |
| L8618 | Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement | 1,410 | $30 | $35.3K |
| L9900 | Orthotic and prosthetic supply, accessory, and/or service component of another hcpcs "l" code | 90 | $60 | $5.2K |
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| L8619 | Cochlear implant, external speech processor and controller, integrated system, replacement | 1 | 10 | 4,530 | $4,810 | $21.8M |
| L8624 | Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each | 1 | 10 | 10,230 | $170 | $1.8M |
| L8615 | Headset/headpiece for use with cochlear implant device, replacement | 1 | 10 | 4,990 | $240 | $1.2M |
| L8616 | Microphone for use with cochlear implant device, replacement | 1 | 10 | 4,450 | $70 | $324.9K |
| L7510 | Repair of prosthetic device, repair or replace minor parts | 1 | 10 | 710 | $230 | $161.3K |
| L8618 | Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement | 1 | 10 | 1,410 | $20 | $34.9K |
| L9900 | Orthotic and prosthetic supply, accessory, and/or service component of another hcpcs "l" code | 1 | 10 | 90 | $60 | $5.2K |
Other providers in the same ZIP code as Advanced Bionics, LLC., ranked by combined Medicare and Medicaid revenue.
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