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

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

Medical Express Depot, Inc. (NPI 1851483325)

Field	Value
Entity Type	Organization
Organization	Medical Express Depot, Inc.
Address	1700 N Highland Rd Ste 300
City	Pittsburgh
State	PA
ZIP	15241
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	September 29, 2006

Payer Source	Total Paid
Medicaid	$49.6M
Medicare	$0

Key Findings

Payer mix and scale: MEDICAL EXPRESS DEPOT, INC. shows no Medicare billing on file and reports $49.6M in lifetime Medicaid revenue, indicating the provider is effectively a Medicaid-focused DME/MS supplier rather than a dual-payer operator. The absence of Medicare activity makes Medicaid the practical sole public-payer exposure to evaluate for this entity.

Revenue concentration: the provider’s Medicaid revenue is highly concentrated in a handful of codes — the precomputed top-3 share is 76.0% of total Medicaid revenue. In particular, A9276 alone accounts for $26.6M (53.6% of Medicaid revenue), while A9277 ($5.9M, 11.8%) and E0784 ($5.3M, 10.7%) complete the top three, showing that a small set of device and pump codes dominate receipts.

Business/service-line implications: the dominant codes (A9276, A9277, E0784) and the wider code mix (A4230, A4232, A9274, K0553, etc.) indicate a core business built around continuous glucose monitoring (CGM) systems and insulin delivery equipment and supplies. The pattern of large-volume sensor and transmitter billing plus infusion pump and infusion-set lines suggests the firm operates as a downstream supplier of diabetes management DME and recurring disposable supplies.

Competitive standing in-state: MEDICAL EXPRESS DEPOT ranks at the top for several mission-critical diabetes codes — A9276 ranks #1 of 4 providers in-state (100th percentile; typical, unremarkable volume for this code) and A9277 ranks #1 of 3 providers in-state (100th percentile; typical, unremarkable volume for this code). A4230 and multiple supply lines also rank #1 of peers in-state (100th percentile), which collectively signal dominant in-state market share for the core CGM and pump supply categories even while the underlying descriptor labels these volumes as "typical, unremarkable" within the dataset.

Revenue mix by claim economics and volume: the provider exhibits a high-volume, mixed-price profile — A9276 has 77.1K claims at $345 avg paid/claim generating $26.6M, and supply items such as A4232 show very high claim counts (37.1K claims at $34 avg paid/claim for $1.3M). By contrast, E0784 has far fewer claims (1.5K) but a much higher avg paid/claim ($3604) yielding $5.3M, illustrating a mix of recurring low-dollar supplies and lower-frequency, high-dollar durable pump reimbursements.

Reporting and reimbursement nuances: a small number of listed codes have claims but report $0 avg paid/claim (for example E2103 and A4238), which points to reporting or payment-policy nuances in the Medicaid data rather than material revenue contribution. Analysts should treat these zero-paid lines as non-revenue entries in this dataset and, if relevant, follow up with state plan rules or remittance-level data to understand whether these are bundled, non-covered, or reported for administrative tracking.

Tenure and strategic implications: the NPI was enumerated on 2006-09-29 (~20 years ago), indicating a long-standing presence in the market and a sustained Medicaid revenue footprint. That longevity, combined with heavy dependence on a small set of diabetes-related codes, suggests operational specialization but also concentrated payer exposure — meaning changes in Medicaid coverage or reimbursement for CGM and insulin-pump lines could materially affect this provider’s revenue profile.

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	77,080	$350	$26.6M
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	11,060	$530	$5.9M
E0784	External ambulatory infusion pump, insulin	1,470	$3,600	$5.3M
A4230	Infusion set for external insulin pump, non needle cannula type	32,360	$120	$3.9M
A9274	External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories	7,610	$380	$2.9M
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	17,320	$80	$1.3M
A4232	Syringe with needle for external insulin pump, sterile, 3 cc	37,050	$30	$1.3M
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	15,170	$40	$622K
A4231	Infusion set for external insulin pump, needle type	4,760	$120	$575.5K
A9278	Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	1,320	$430	$565.3K

Showing 1–10 of 21

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

Medical Express Depot, Inc. — 8 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	1	10	15,030	$320	$8.5M
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	1	10	6,720	$460	$2.8M
E0784	External ambulatory infusion pump, insulin	2	10	1,470	$2,130	$2.1M
A9274	External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories	1	10	5,810	$340	$2M
A4230	Infusion set for external insulin pump, non needle cannula type	1	10	5,820	$120	$1.5M
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	2	10	670	$90	$793.2K
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	2	10	1,080	$80	$686.4K
A4232	Syringe with needle for external insulin pump, sterile, 3 cc	1	10	4,370	$30	$468.7K
A9278	Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	2	10	1,320	$330	$428.8K
A4224	Supplies for maintenance of insulin infusion catheter, per week	1	10	3,350	$80	$259K

Showing 1–10 of 21

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwestern Human Services	PA	Public Health or Welfare Agency	$0	$15.6M
South Hills Diagnostic & Treatment Center LP	PA	Ambulatory Surgical Clinic/Center	$628.9K	$0
Brian Horvath	PA	Dermatology Physician	$261.3K	$0
David Miller	PA	Allergy Physician	$61.1K	$0
Michael Palumbo	PA	Allergy Physician	$34.7K	$0

Medical Express Depot, Inc. — Billing Profile & Reimbursement Data

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Medical Express Depot, Inc. — 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

Nearby Providers

Frequently Asked Questions

References