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

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

Bluegrass Bracing Inc (NPI 1932187317)

Field	Value
Entity Type	Organization
Organization	Bluegrass Bracing Inc
Address	1389 W Main St
City	Lexington
State	KY
ZIP	40508
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	January 5, 2006

Payer Source	Total Paid
Medicaid	$4.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
L2280	Addition to lower extremity, molded inner boot	3,100	$300	$914.8K
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	4,580	$200	$892.3K
L1970	Ankle foot orthosis, plastic with ankle joint, custom fabricated	1,090	$440	$477.8K
L3960	Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment	760	$400	$303.3K
L2275	Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined	3,820	$80	$301.7K
L3809	Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type	1,540	$160	$249.5K
L2840	Addition to lower extremity orthosis, tibial length sock, fracture or equal, each	1,920	$120	$232.7K
L1820	Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific…	2,940	$70	$202.7K
L1907	Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated	660	$310	$202K
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	6,020	$30	$198.7K

Showing 1–10 of 36

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

Bluegrass Bracing Inc — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
L2280	Addition to lower extremity, molded inner boot	2	10	3,100	$320	$1M
L1907	Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated	2	10	2,080	$330	$694.7K
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	4	20	90	$190	$410.9K
L1833	Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf	7	10	180	$420	$330.1K
L3960	Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment	1	10	760	$400	$303.2K
L3809	Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type	3	10	170	$150	$249.6K
L1812	Knee orthosis, elastic with joints, prefabricated, off-the-shelf	3	10	470	$80	$164.8K
L3984	Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment	2	10	510	$220	$159.8K
L1970	Ankle foot orthosis, plastic with ankle joint, custom fabricated	1	10	110	$410	$136.9K
E0114	Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips	11	20	300	$30	$121.1K

Showing 1–10 of 36

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Walker House Inc	KY	Community/Behavioral Health Agency	$0	$6.4M
Carlos Serna	KY	Case Manager/Care Coordinator	$0	$4.3M
Simple Solutions LLC	KY	Clinical Social Worker	$0	$3.7M
Hope Center Services, LLC	KY	Professional Counselor	$0	$3.1M
Peter Blackburn	KY	Retina Specialist (Ophthalmology) Physician	$1M	$251.2K
Claire Fraser	KY	Retina Specialist (Ophthalmology) Physician	$540.9K	$172K
Stuart Cowley	KY	Pain Medicine (Anesthesiology) Physician	$501.4K	$138.1K
John Franklin	KY	Pediatric Ophthalmology and Strabismus Specialist Physician Physician	$8.8K	$282K
Paul Pearson	KY	Retina Specialist (Ophthalmology) Physician	$198.8K	$57.2K
Eric Higgins	KY	Retina Specialist (Ophthalmology) Physician	$236.9K	$1.2K

Bluegrass Bracing 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