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

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

Continuum, LLC (NPI 1952355521)

Field	Value
Entity Type	Organization
Organization	Continuum, LLC
Address	2536 Castor Ave
City	Philadelphia
State	PA
ZIP	19134
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	May 19, 2006

Payer Source	Total Paid
Medicaid	$72.1M
Medicare	$0

Key Findings

This provider is effectively single-payer: there is no Medicare billing on file and all reported government revenue is Medicaid-based, totaling $72.1M. Analysts should treat CONTINUUM, LLC as a Medicaid-centric DME supplier rather than a mixed Medicare/Medicaid operator when evaluating payer mix and contracting exposure.

Revenue is concentrated in a small set of enteral-related codes: the top three Medicaid codes (B4160, B4161, B4035) account for 32.7% of the provider's total Medicaid revenue. Those specific contributors are B4160 ($8.6M, 38.2K claims, $224 avg paid/claim, 15.9%), B4161 ($4.7M, 8.5K claims, $557 avg paid/claim, 8.8%), and B4035 ($4.3M, 19.8K claims, $218 avg paid/claim, 8.0%), indicating a meaningful dependence on enteral formula and feeding supply reimbursement.

The service-line mix is dominated by enteral nutrition and associated supplies—multiple high-revenue codes relate to enteral formulas (B4160, B4161, B4150, B4152, B4154) and delivery systems (B4035, B9002, B4088). This pattern is consistent with a DME supplier operating a refill and supply model for tube-fed patients, including pediatric and specialty metabolic formulations, rather than a generalist DME catalog.

CONTINUUM shows strong statewide competitive standing on core enteral products: several enteral codes are ranked at or near the top of in-state provider lists. Examples include B4152 (rank #1 of 33, 100th percentile; extreme outlier, far above typical state volume for this code), B4154 (#1 of 16, 100th percentile; extreme outlier, far above typical state volume for this code), and B4150 (#2 of 42, 98th percentile; extreme outlier, far above typical state volume for this code), signaling dominant market share for high-calorie and specialty enteral formulas in Pennsylvania.

The provider also has meaningful scale in recurring supplies and durable enteral equipment, which supports a steady revenue stream: B4035 shows 19.8K claims ($4.3M) and B9002 shows 17.5K claims ($1M) with B9002 ranked #2 of 20 (95th percentile; notably above typical state volume for this code). These volumes are consistent with regular consumable refills and equipment provisioning tied to long-term enteral therapy.

Pediatric enteral care is a notable sub-specialty for this supplier: B4160 is explicitly pediatric and accounts for $8.6M (15.9%) with 38.2K claims and ranks #2 of 33 (97th percentile; notably above typical state volume for this code). The high claim count and rank indicate a concentrated patient cohort and operational processes tailored to pediatric tube-feeding regimens.

Beyond enteral products, CONTINUUM reports significant activity in wound care and continence supplies, though with mixed statistical characterizations. For wound dressings the provider appears as a leading in-state supplier for specific items (A6253 rank #1 of 6, 100th percentile; typical, unremarkable volume for this code), while continence products show large claim counts (T4541 60.4K claims, $1.3M, rank #3 of 85, 98th percentile; notably above typical state volume), indicating a broad DME portfolio that extends beyond enteral services.

The provider has long tenure on file—NPI enumerated 2006-05-19 (~20 years ago)—which, combined with concentrated Medicaid scale ($72.1M) and top-state rankings on many lines, suggests an established, Medicaid-focused DME operation with entrenched relationships and operational capacity for high-volume enteral and supply provisioning. This tenure supports the inference that current patterns are stable rather than transitory.

Medicaid: Complete Services Breakdown

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

204 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	38,200	$220	$8.6M
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	8,470	$560	$4.7M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	19,760	$220	$4.3M
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…	37,490	$100	$3.8M
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	13,600	$260	$3.5M
A6212	Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing	20,270	$120	$2.4M
A6253	Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing	15,060	$160	$2.3M
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include…	16,820	$130	$2.1M
B9998	Noc for enteral supplies	20,950	$100	$2.1M
A6021	Collagen dressing, sterile, size 16 sq. in. or less, each	8,650	$220	$1.9M

Showing 1–10 of 204

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

Continuum, LLC — 11 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

204 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E1399	Durable medical equipment, miscellaneous	8	40	350	$540	$1.4M
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	2	10	5,020	$160	$1.2M
A4353	Intermittent urinary catheter, with insertion supplies	7	10	2,140	$430	$1.2M
A6210	Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing	2	10	2,090	$420	$1.1M
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	2	30	490	$190	$874.5K
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	3	30	1,460	$130	$845.1K
B9998	Noc for enteral supplies	1	20	640	$220	$845K
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	4	10	670	$90	$793.2K
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	2	20	180	$470	$766.9K
A6253	Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing	1	10	5,740	$110	$721.5K

Showing 1–10 of 204

Nearby Providers

Other providers in the same ZIP code as Continuum, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stc Opco LLC	PA	Children's Hospital	$0	$69.2M
Beacon Point Recovery Center, LLC.	PA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$36.7M
Citywide Community Counseling Service Inc	PA	Community/Behavioral Health Agency	$0	$22.4M
Davetta Care LLC	PA	In Home Supportive Care Agency	$0	$20.2M
Hispanic Community Counseling Services	PA	Community/Behavioral Health Agency	$0	$15.9M
Comhar Inc	PA	Community/Behavioral Health Agency	$0	$15.3M
Stc Pediatrics LLC	PA	Pediatric Emergency Medicine (Pediatrics) Physician	$0	$12.2M
Stc Pediatrics LLC	PA	Pediatrics Physician	$0	$8.7M
Comhar, Inc	PA	Community/Behavioral Health Agency	$0	$5.7M
Vikram Patel	PA	Geriatric Medicine (Family Medicine) Physician	$396.6K	$74.3K

Continuum, 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

Nearby Providers

Frequently Asked Questions

References