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    OpenPayerNPI Medicare & MedicaidQueen City Med Mart LLC
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    Queen City Med Mart LLC — Billing Profile & Reimbursement Data

    NPI 1891725263 · Cincinnati, OH · Durable Medical Equipment & Medical Supplies

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    Queen City Med Mart LLC is a durable medical equipment & medical supplies provider located in Cincinnati, Ohio. This profile covers 0 Medicare and 39 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
    OrganizationQueen City Med Mart LLC
    Address10780 Reading Rd
    CityCincinnati
    StateOH
    ZIP45241
    TaxonomyDurable Medical Equipment & Medical Supplies
    NPI EnumeratedJuly 3, 2006

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

    Payer SourceTotal Paid
    Medicaid$7.8M
    Medicare$0

    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.

    39 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5165Home modifications; per service1,360$4,210$5.7M
    T2029Specialized medical equipment, not otherwise specified, waiver2,770$260$712.1K
    T4541Incontinence product, disposable underpad, large, each4,170$40$154.4K
    E0260Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress2,420$60$147.6K
    K0003Lightweight wheelchair2,440$60$146.6K
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each1,210$100$115K
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each1,000$90$90.8K
    B4150Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…780$90$69.8K
    E1028Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other1,370$50$68.3K
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each1,480$40$65.3K

    Showing 1–10 of 39

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Ohio median

    39 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5165Home modifications; per service320230$3,960$2.2M
    T2029Specialized medical equipment, not otherwise specified, waiver1140950$130$709.9K
    E1028Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other22303,370$120$516.8K
    A4351Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each2530760$100$480.6K
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each47801,240$70$295.8K
    T4541Incontinence product, disposable underpad, large, each351002,060$30$295.1K
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each4490780$80$277.8K
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each48100810$70$275.1K
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each49901,860$30$255.3K
    B4150Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…53801,420$70$242.4K

    Showing 1–10 of 39

    Nearby Providers

    Other providers in the same ZIP code as Queen City Med Mart LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Decoach Team LLCOHSubstance Use Disorder Rehabilitation Clinic/Center$73.5K$48.2M
    Pediatric Products, LLCOHDurable Medical Equipment & Medical Supplies$0$30.2M
    Rehab Medical Of Cincinnati, LLCOHDurable Medical Equipment & Medical Supplies$0$9M
    Cornerstone Medical Services- Midwest, LLCOHOxygen Equipment & Supplies (DME)$0$7.3M
    Mlk Associates, Inc.OHDurable Medical Equipment & Medical Supplies$0$7.2M
    Amadyss Healthcare And Training ServicesOHHome Health Agency$0$6.9M
    Beacon Orthopaedics Surgery Center, LLCOHAmbulatory Surgical Clinic/Center$4.5M$0
    E-asc LLCOHAmbulatory Surgical Clinic/Center$2M$0
    Harold PretoriusOHNuclear Medicine Physician$162.4K$260.3K
    Michael SwankOHOrthopaedic Surgery Physician$343.1K$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.

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    Medicaid Revenue by Year vs. Ohio Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Ohio Distribution
    Queen City Med Mart LLC — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio