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

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

Rocky Mountain Medical Equipment LLC (NPI 1902098965)

Field	Value
Entity Type	Organization
Organization	Rocky Mountain Medical Equipment LLC
Address	7000 Broadway Ste 412
City	Denver
State	CO
ZIP	80221
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	August 14, 2007

Payer Source	Total Paid
Medicaid	$34.8M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $34.8M in lifetime Medicaid revenue, making its business effectively single-payer (Medicaid) in scope. Its NPI was enumerated 2007-08-14 (~19 years ago), indicating long tenure in the market but concentrated exposure to state Medicaid reimbursement and policy changes.

Revenue is highly concentrated in three codes: E0466, E1390, and E0465 together account for 58.3% of this provider's total Medicaid revenue. Individually these codes generate $6.6M (E0466, 20.0%), $6.5M (E1390, 19.6%), and $6.2M (E0465, 18.8%) respectively, which signals that a majority of revenue depends on ventilator and oxygen concentrator flows.

The code mix and descriptions show this is a respiratory-focused DME operation: top revenue drivers are home ventilators (E0466, E0465) and oxygen concentrators (E1390), complemented by CPAP equipment (E0601), oximeters (E0445), and tracheostomy supplies (A7526, A4481). This breadth across invasive and non‑invasive ventilatory support, stationary and portable oxygen, and sleep‑apnea accessories is consistent with a full-service oxygen equipment & supplies (DME) provider.

On statewide competitive standing, the provider is a dominant supplier for many high-revenue ventilator and accessory codes: E0466 ranks #1 of 38 providers in-state (100th percentile) and E0465 ranks #1 of 5 (100th percentile), while E1390 ranks #3 of 135 providers (99th percentile). These rank/percentile positions indicate market-leading volume for ventilators and top-tier volume for oxygen concentrators within Colorado.

Claim-level patterns show a mix of high-volume, low-unit-value items and lower-volume, high-unit-value items: E1390 is 101.3K claims at $64 avg paid/claim for $6.5M revenue (an extreme outlier in volume), whereas E0465 is 5.4K claims at $1153 avg paid/claim for $6.2M revenue. This suggests operational capacity to manage large consumable flows alongside higher-acuity, more costly device management.

The provider also dominates many accessory, rental, and sleep-apnea lines statewide, with multiple codes at rank #1 and 100th percentile status — examples include K0738 (63.7K claims, $30 avg, $1.9M revenue), E0601 (24.1K claims, $53 avg, $1.3M revenue), and A7034 (12.8K claims, $52 avg, $665.8K revenue). Several of these are labeled as "extreme outlier" or "notably above typical state volume," indicating unusually large share of Colorado demand for these items.

Because top-3 codes account for 58.3% of Medicaid revenue and the organization reports no Medicare revenue, the business faces concentrated payer and product risk: material changes to Medicaid coverage or reimbursement for ventilators, oxygen concentrators, or related rentals/accessories could disproportionately affect overall revenue. Analysts should flag dependence on a narrow set of respiratory codes when assessing financial or contract negotiations.

Medicaid: Complete Services Breakdown

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

78 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	7,440	$890	$6.6M
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	101,350	$60	$6.5M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	5,380	$1,150	$6.2M
K0738	Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing	63,680	$30	$1.9M
E0445	Oximeter device for measuring blood oxygen levels non-invasively	6,130	$250	$1.5M
E0601	Continuous positive airway pressure (CPAP) device	24,060	$50	$1.3M
E0562	Humidifier, heated, used with positive airway pressure device	6,770	$150	$1M
A7030	Full face mask used with positive airway pressure device, each	13,410	$80	$1M
A4606	Oxygen probe for use with oximeter device, replacement	11,660	$80	$956.1K
A4624	Tracheal suction catheter, any type other than closed system, each	4,540	$180	$834.4K

Showing 1–10 of 78

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

Rocky Mountain Medical Equipment LLC — 22 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

78 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	1	10	3,350	$1,110	$3.3M
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	3	140	7,200	$60	$1.1M
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	1	40	1,070	$540	$919.6K
A9999	Miscellaneous dme supply or accessory, not otherwise specified	2	20	2,720	$80	$377.9K
A4606	Oxygen probe for use with oximeter device, replacement	2	10	2,790	$80	$377.7K
E0240	Bath/shower chair, with or without wheels, any size	8	10	120	$440	$320.3K
E0445	Oximeter device for measuring blood oxygen levels non-invasively	1	20	350	$240	$310.2K
A4624	Tracheal suction catheter, any type other than closed system, each	1	10	2,090	$150	$309.5K
A4927	Gloves, non-sterile, per 100	31	60	5,950	$20	$293.7K
A7520	Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each	1	10	1,810	$100	$197.9K

Showing 1–10 of 78

Related Providers

Other providers that share a Tax Identification Number (TIN) with Rocky Mountain Medical Equipment LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rocky Mountain Medical Equipment LLC	CO	Oxygen Equipment & Supplies (DME)	$0	$15.5M

Nearby Providers

Other providers in the same ZIP code as Rocky Mountain Medical Equipment LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mile High Homecare LLC	CO	In Home Supportive Care Agency	$0	$22.4M
Clinica Campesina Family Health Services	CO	Federally Qualified Health Center (FQHC)	$0	$22.3M
Apex Paramedics, LLC.	CO	Ambulance	$1.5M	$10.2M
Goldstar Learning Options, Inc	CO	Attendant Care Provider	$0	$9.7M
Goldstar Learning Options, Inc	CO	Behavior Analyst	$0	$4.2M

Rocky Mountain Medical Equipment LLC — Billing Profile & Reimbursement Data

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Rocky Mountain Medical Equipment LLC — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References