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

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

Medical West Healthcare Center LLC (NPI 1922438449)

Field	Value
Entity Type	Organization
Organization	Medical West Healthcare Center LLC
Address	444 S Brentwood Blvd
City	Clayton
State	MO
ZIP	63105
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	November 19, 2013

Payer Source	Total Paid
Medicaid	$5.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2029	Specialized medical equipment, not otherwise specified, waiver	24,700	$220	$5.4M
A4414	Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each	940	$80	$72.6K
A4362	Skin barrier; solid, 4 x 4 or equivalent; each	1,240	$40	$54.3K
A5063	Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each	1,290	$30	$39.9K
A4409	Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each	910	$40	$37.4K
A4406	Ostomy skin barrier, pectin-based, paste, per ounce	2,110	$10	$25.3K
A4385	Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each	1,290	$20	$21.9K
L8000	Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type	1,000	$20	$20.1K
A4407	Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each	340	$50	$18.3K
A4425	Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each	350	$50	$17.3K

Showing 1–10 of 24

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

Medical West Healthcare Center LLC — 5 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2029	Specialized medical equipment, not otherwise specified, waiver	4	40	1,720	$200	$1.4M
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	6	10	400	$120	$91.7K
E0601	Continuous positive airway pressure (CPAP) device	104	110	1,220	$20	$52.1K
A4414	Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each	1	10	500	$50	$25.6K
A4362	Skin barrier; solid, 4 x 4 or equivalent; each	1	10	490	$30	$21.6K
A4409	Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each	2	10	280	$20	$17.5K
A5063	Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each	2	10	710	$20	$13.7K
K0001	Standard wheelchair	33	60	410	$10	$13K
A4385	Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each	2	10	500	$20	$12.5K
A4425	Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each	3	10	350	$20	$10.6K

Showing 1–10 of 24

Nearby Providers

Other providers in the same ZIP code as Medical West Healthcare Center LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Care Services Of Metropolitan St Louis Ltd	MO	Chore Provider	$0	$15.3M
New Beginnings In Home Services LLC	MO	Home Health Agency	$0	$3.8M
Leslie Mezei	MO	Cardiovascular Disease Physician	$244.2K	$0
Jacqueline Johnson	MO	Physical Therapist	$187.3K	$0
Dan Kelley	MO	Physical Therapist	$144.5K	$0
Noura Zakari	MO	Nurse Practitioner	$114.6K	$0
Jeffrey Aschenbrenner	MO	Foot & Ankle Surgery Podiatrist	$111.2K	$0
James Mikolajczak	MO	Child & Adolescent Psychiatry Physician	$102.4K	$0
Brandon Doser	MO	Foot & Ankle Surgery Podiatrist	$97.3K	$0
Susan Boyer	MO	Psychiatry Physician	$68.1K	$0

Medical West Healthcare Center LLC — Billing Profile & Reimbursement Data

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Medical West Healthcare Center 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

Nearby Providers

Frequently Asked Questions

References