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

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

A-one Specialty Medical LLC (NPI 1881698520)

Field	Value
Entity Type	Organization
Organization	A-one Specialty Medical LLC
Address	58 Myricks St
City	Berkley
State	MA
ZIP	02779
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	June 10, 2005

Payer Source	Total Paid
Medicaid	$9.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

48 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	33,370	$60	$2M
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	17,330	$80	$1.3M
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	15,260	$80	$1.3M
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	10,370	$90	$943.9K
B4154	Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or…	5,050	$130	$645.8K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	5,670	$110	$595.2K
A4335	Incontinence supply; miscellaneous	8,990	$40	$341.8K
T4525	Adult sized disposable incontinence product, protective underwear/pull-on, small size, each	3,720	$90	$323.9K
A4520	Incontinence garment, any type, (e.g., brief, diaper), each	7,230	$40	$318.1K
A4554	Disposable underpads, all sizes	5,590	$50	$274K

Showing 1–10 of 48

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Massachusetts Distribution

A-one Specialty Medical LLC — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. Massachusetts median

48 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	3	20	3,430	$80	$650K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	3	20	2,730	$80	$633.1K
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	11	20	1,320	$110	$594.7K
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	5	30	2,430	$110	$592.1K
E1399	Durable medical equipment, miscellaneous	4	30	900	$140	$504.7K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	6	20	2,170	$100	$497.4K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	2	30	3,840	$50	$490.5K
T4522	Adult sized disposable incontinence product, brief/diaper, medium, each	12	20	1,150	$90	$422.8K
T4541	Incontinence product, disposable underpad, large, each	26	30	3,210	$30	$397.6K
K0739	Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes	7	20	1,690	$90	$375K

Showing 1–10 of 48

A-one Specialty Medical LLC — Billing Profile & Reimbursement Data

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A-one Specialty Medical LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References