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    OpenPayerNPI Medicare & MedicaidBioventus LLC
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    Bioventus LLC — Billing Profile & Reimbursement Data

    NPI 1861761785 · Cordova, TN · Durable Medical Equipment & Medical Supplies

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    Bioventus LLC is a durable medical equipment & medical supplies provider located in Cordova, Tennessee. This profile covers 0 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationBioventus LLC
    Address7101 Goodlett Farms Pkwy
    CityCordova
    StateTN
    ZIP38016
    TaxonomyDurable Medical Equipment & Medical Supplies
    NPI EnumeratedDecember 21, 2011

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$34.5M
    Medicare$0

    Key Findings

    This provider is effectively single-payer in the federal programs dataset: there is no Medicare billing on file and the provider reports $34.5M in Medicaid revenue, indicating its measurable public-payer activity is concentrated in Medicaid rather than Medicare. The absence of Medicare claims prevents cross-payer comparisons and suggests the entity either does not bill Medicare or has not recorded Medicare activity in the data provided.

    Medicaid revenue is extremely concentrated: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, and a single code—E0760—alone represents 99.4% of Medicaid revenue ($34.3M). This concentration indicates the organization’s Medicaid business is dominated by one product line rather than a diversified DME mix.

    The code mix and the provider taxonomy (Durable Medical Equipment & Medical Supplies) show a clear operational focus on bone-growth and stimulation devices: E0760 is an osteogenesis stimulator (low intensity ultrasound, non-invasive) and E0770 is a functional electrical stimulator. The prevalence of E0760 (32.9K claims at $1043 avg paid/claim generating $34.3M) implies this supplier operates at high volume in the osteogenesis-stimulation market segment, with a much smaller presence in transcutaneous functional electrical stimulation (140 claims, $1559 avg paid/claim, $218.3K).

    There is a marked disparity between volume and unit payment across the two reported Medicaid codes: E0760 shows very large volume (32.9K claims) at $1043 avg paid/claim producing $34.3M in revenue, while E0770 has far lower volume (140 claims) but a higher avg paid/claim ($1559) yielding $218.3K. This combination indicates the provider’s revenue depends on high-volume, lower-unit-dollar deliveries for E0760, with E0770 representing a small, higher-unit-dollar niche.

    In-state competitive standing is unique: both listed Medicaid codes rank #1 of 1 providers in-state (0th percentile; no state peer volume comparison available), meaning this entity is the sole in-state reporter for these codes in the dataset. Because there are no in-state peers reported, the provider functions as the de facto in-state supplier for these specific DME codes, though the percentile and rank reflect the lack of peer data rather than a measured dominance against multiple competitors.

    The provider has an established enrollment history: the NPI was enumerated on 2011-12-21 (~15 years ago), which indicates a long-standing presence in the market. That tenure is consistent with the scale of reported Medicaid activity and suggests an established supply chain or contracting footprint for the reported products.

    From a business-risk and strategic perspective, the extremely high reliance on a single code (E0760 at 99.4% of Medicaid revenue) creates operational vulnerability: changes in reimbursement policy, code edits, or clinical guidelines affecting osteogenesis stimulators could materially impact total Medicaid revenue. Analysts should treat the provider as highly concentrated in a single DME product line and consider scenario analyses for reimbursement or demand shifts.

    Data limitations are material for interpretation: the dataset shows no Medicare billing and no state peer volume comparisons for the listed codes, so assessments of national competitiveness or cross-payer positioning are not possible from these records alone. Any conclusions about market share or competitive strength outside the reported state should therefore be labeled tentative unless supplemented with additional claims or supplier data.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    E0760Osteogenesis stimulator, low intensity ultrasound, non-invasive32,880$1,040$34.3M
    E0770Functional electrical stimulator, transcutaneous stimulation of nerve and/or muscle groups, any type, complete system, not otherwise specified140$1,560$218.3K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Tennessee median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    E0760Osteogenesis stimulator, low intensity ultrasound, non-invasive11032,880$1,040$34.3M
    E0770Functional electrical stimulator, transcutaneous stimulation of nerve and/or muscle groups, any type, complete system, not otherwise specified110140$1,560$218.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Resource One Medical StaffingTNNursing Care Agency$0$13.4M
    Healthquest PCTNPsychiatry Physician$0$3.2M
    Vinall & Smith Pediatric DentistryTNPediatric Dentistry$0$3M
    Cordova Pediatrics PLLCTNPediatrics Physician$0$2.9M
    Tejinder SainiTNPsychiatry Physician$402K$65.7K
    Michael SmithTNPhysical Therapist$413.3K$0
    Jeffrey HallTNPain Medicine (Anesthesiology) Physician$216.5K$0
    Chad WebsterTNFoot & Ankle Surgery Podiatrist$188.3K$9K
    Ted ButterfieldTNFoot & Ankle Surgery Podiatrist$135.6K$0
    Rebecca JonesTNFamily Nurse Practitioner$117.1K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Tennessee Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Bioventus LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee