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.

Physician's Choice Medical, LLC (NPI 1932324621)

Field	Value
Entity Type	Organization
Organization	Physician's Choice Medical, LLC
Address	565 E 70th Ave Unit 2w
City	Denver
State	CO
ZIP	80229
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	April 16, 2007

Payer Source	Total Paid
Medicaid	$7.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

53 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A4554	Disposable underpads, all sizes	22,050	$60	$1.4M
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	5,210	$210	$1.1M
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	9,900	$80	$771.9K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	4,330	$170	$731.1K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	3,210	$190	$605.9K
A4927	Gloves, non-sterile, per 100	23,200	$20	$510.5K
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	4,320	$110	$466.1K
A6212	Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing	920	$220	$203.1K
T4544	Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each	650	$300	$194.8K
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	1,020	$160	$160.4K

Showing 1–10 of 53

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

Physician's Choice Medical, LLC — 0 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

53 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	105	140	7,200	$60	$1.1M
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	13	40	2,280	$150	$795.4K
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	22	20	2,210	$170	$748.4K
B4154	Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or…	22	20	1,350	$240	$716.5K
A6197	Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing	4	10	1,720	$420	$705.6K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	14	40	1,900	$120	$627.8K
A4554	Disposable underpads, all sizes	11	60	6,090	$50	$584.2K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	12	50	3,480	$50	$465.5K
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	9	40	1,190	$90	$424.3K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	10	30	1,850	$120	$415.4K

Showing 1–10 of 53

Nearby Providers

Other providers in the same ZIP code as Physician's Choice Medical, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Allegiance Home Care Inc	CO	In Home Supportive Care Agency	$0	$33.7M
A Better Life Experience Inc.	CO	Developmentally Disabled Services Day Training Agency	$0	$30.7M
Hca Healthone LLC	CO	General Acute Care Hospital	$0	$30.6M
Clinica Campesina Family Health Services	CO	Federally Qualified Health Center (FQHC)	$0	$25.5M
Oliver Behavioral Consultants LLC	CO	Behavior Analyst	$0	$16.6M
Rocky Mountain Youth Medical & Nursing Consultants Inc	CO	Pediatrics Physician	$0	$16.2M
Carepoint Emergency Medicine, PLLC	CO	Emergency Medicine Physician	$0	$7.6M
Thornton Youth Dentistry, PC	CO	General Practice Dentistry	$0	$7.1M
H.e.a.r.t Counseling Center, LLC	CO	Community/Behavioral Health Agency	$0	$5.4M
Thornton Youth Vision, LLC	CO	Optometrist	$0	$5M

Physician's Choice Medical, LLC — Billing Profile & Reimbursement Data

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Physician's Choice Medical, 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