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

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

Sonshine Medical Inc. (NPI 1891750691)

Field	Value
Entity Type	Organization
Organization	Sonshine Medical Inc.
Address	6590 Middlebranch Ave Ne
City	Canton
State	OH
ZIP	44721
Taxonomy	Customized Equipment (DME)
NPI Enumerated	April 18, 2006

Payer Source	Total Paid
Medicaid	$34.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

35 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E2617	Custom fabricated wheelchair back cushion, any size, including any type mounting hardware	5,450	$1,200	$6.5M
E2609	Custom fabricated wheelchair seat cushion, any size	5,550	$900	$5M
E1161	Manual adult size wheelchair, includes tilt in space	2,460	$1,830	$4.5M
E1007	Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction	590	$4,830	$2.9M
K0005	Ultralightweight wheelchair	1,650	$1,630	$2.7M
E1028	Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other	5,410	$440	$2.4M
K0108	Wheelchair component or accessory, not otherwise specified	6,090	$320	$1.9M
K0861	Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds	250	$4,180	$1M
E0956	Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each	5,020	$190	$949.2K
E2311	Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function…	600	$1,500	$898.8K

Showing 1–10 of 35

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Ohio Distribution

Sonshine Medical Inc. — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. Ohio median

35 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E1007	Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction	5	10	400	$3,520	$2.9M
E2617	Custom fabricated wheelchair back cushion, any size, including any type mounting hardware	2	20	580	$880	$1.9M
E2609	Custom fabricated wheelchair seat cushion, any size	2	20	410	$830	$1.8M
E1161	Manual adult size wheelchair, includes tilt in space	6	20	1,560	$740	$1.5M
K0861	Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds	5	10	200	$3,010	$1.4M
E2311	Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function…	5	10	410	$1,010	$852.4K
K0108	Wheelchair component or accessory, not otherwise specified	9	30	5,260	$160	$790.2K
E1012	Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each	6	10	500	$940	$752.8K
K0005	Ultralightweight wheelchair	1	10	350	$1,320	$720.7K
E2203	Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches	3	10	1,380	$300	$607.9K

Showing 1–10 of 35

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gregory James	OH	Physical Therapist	$118.4K	$0

Sonshine Medical Inc. — Billing Profile & Reimbursement Data

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Sonshine Medical Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References