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NPI 1962517607 · Durham, NC · Durable Medical Equipment & Medical Supplies
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Med-el Corporation is a durable medical equipment & medical supplies provider located in Durham, North Carolina. This profile covers 5 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Med-el Corporation |
| Address | 2645 Meridian Pkwy Ste 100 |
| City | Durham |
| State | NC |
| ZIP | 27713 |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| NPI Enumerated | August 21, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $6.4M |
| Medicare | $3.2M |
MED-EL CORPORATION operates squarely within the Durable Medical Equipment & Medical Supplies taxonomy and its billing mix is dominated by cochlear implant components and related support services. The presence of high-revenue implant replacement code L8619 alongside battery codes (L8624, L8621) and repair/parts code L7510 indicates a business model focused on supplying replacement external speech processors, consumable batteries, and device maintenance rather than surgical implantation services.
Medicare revenue is highly concentrated: the provider’s top 3 Medicare codes account for 100.0% of its Medicare revenue, with L8619 alone generating $3.1M (97.2% of Medicare revenue) across 420 claims at an average paid/claim of $7357. This concentration means the provider’s Medicare performance is effectively driven by a single high-dollar replacement product, exposing Medicare revenue to price or utilization changes for that code.
Medicaid revenue is also concentrated: the top 3 Medicaid codes account for 97.2% of its Medicaid revenue, and L8619 contributes $5.8M (89.8% of Medicaid revenue) with 1.8K claims at an average paid/claim of $3126. Although the same product dominates both payers, the larger Medicaid dollar volume underscores operational dependency on state-covered beneficiaries and Medicaid reimbursement for replacement processors.
The provider’s payer mix shows Medicaid scale exceeding Medicare scale: total Medicaid revenue is $6.4M versus Medicare revenue of $3.2M, making Medicaid the larger source of billed dollars in this dataset. That imbalance suggests business strategy and inventory planning are likely oriented toward Medicaid demand and pricing dynamics.
National competitive standing on Medicare is modest for the primary device: L8619 ranks #3 of 4 nationally (33th percentile; typical, unremarkable volume for this code), so MED-EL is not a dominant national supplier for that code despite high per-claim dollars. By contrast L7510 ranks #1 of 4 nationally (100th percentile; typical, unremarkable volume for this code) but represents only $31.2K (1.0% of Medicare revenue), so leading positions exist for small-revenue items rather than core revenue drivers.
At the state level for Medicaid the provider appears as the sole reported in-state supplier for multiple top codes: L8619, L8692, L8621, L7510, and others each rank #1 of 1 providers in-state (0th percentile; no state peer volume comparison available). This effectively makes peer benchmarking within North Carolina impossible for these items in this dataset and suggests MED-EL is the only facility reporting these specific DME cochlear-related lines to state Medicaid in the available data.
The provider has long tenure in the enrollment file, with NPI enumeration on 2006-08-21 (~20 years ago), indicating an established operation and suggesting mature billing processes for specialized cochlear implant components and consumables. Tenure combined with concentrated code mix points to a focused supplier that has persisted in this niche over time.
Operationally, the code mix highlights a high-volume/low-price consumable line alongside a lower-volume/high-price replacement device: Medicaid shows 8.9K claims for L8621 (zinc air batteries) at $26 avg paid/claim contributing $232.6K, while L8619 yields far fewer claims but much higher revenue per claim. The disparity between the Medicare average paid/claim for L8619 ($7357) and the Medicaid average paid/claim for the same code ($3126) also demonstrates significant payer-level price variation that will meaningfully affect revenue per unit and contract negotiations.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| L8619 | Cochlear implant, external speech processor and controller, integrated system, replacement | 420 | $7,360 | $3.1M |
| L8624 | Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each | 430 | $130 | $54.9K |
| L7510 | Repair of prosthetic device, repair or replace minor parts | 540 | $60 | $31.2K |
| L8618 | Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement | 80 | $20 | $1.4K |
| L8621 | Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each | 1,380 | $0 | $0 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| L8619 | Cochlear implant, external speech processor and controller, integrated system, replacement | 1,850 | $3,130 | $5.8M |
| L8692 | Auditory osseointegrated device, external sound processor, used without osseointegration, body worn, includes headband or other means of external attachment | 180 | $1,330 | $243.2K |
| L8621 | Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each | 8,950 | $30 | $232.6K |
| L7510 | Repair of prosthetic device, repair or replace minor parts | 2,600 | $40 | $96.2K |
| L8624 | Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each | 700 | $110 | $75.6K |
| L9900 | Orthotic and prosthetic supply, accessory, and/or service component of another hcpcs "l" code | 80 | $90 | $6.5K |
| L8618 | Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement | 80 | $10 | $540 |
How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Carolina median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| L8619 | Cochlear implant, external speech processor and controller, integrated system, replacement | 1 | 10 | 1,850 | $3,130 | $5.8M |
| L8692 | Auditory osseointegrated device, external sound processor, used without osseointegration, body worn, includes headband or other means of external attachment | 1 | 10 | 180 | $1,330 | $243.1K |
| L8621 | Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each | 1 | 10 | 8,950 | $30 | $233K |
| L7510 | Repair of prosthetic device, repair or replace minor parts | 1 | 10 | 2,600 | $40 | $97.3K |
| L8624 | Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each | 1 | 10 | 700 | $110 | $75.5K |
| L9900 | Orthotic and prosthetic supply, accessory, and/or service component of another hcpcs "l" code | 1 | 10 | 80 | $90 | $6.4K |
| L8618 | Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement | 1 | 10 | 80 | $10 | $580 |
Other providers in the same ZIP code as Med-el Corporation, ranked by combined Medicare and Medicaid revenue.
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