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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Wilmington Medical Supply Inc (NPI 1972558898)

Field	Value
Entity Type	Organization
Organization	Wilmington Medical Supply Inc
Address	5815 Oleander Dr Apt 310
City	Wilmington
State	NC
ZIP	28403
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	May 23, 2006

Payer Source	Total Paid
Medicaid	$47.8M
Medicare	$0

Key Findings

WILMINGTON MEDICAL SUPPLY INC is effectively a single-payer Medicaid supplier: there is no Medicare billing on file and lifetime Medicaid revenue is $47.8M. The provider’s NPI was enumerated 2006-05-23 (~20 years ago), indicating long tenure in the market and sustained Medicaid activity over time.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 54.6% of the provider’s total Medicaid revenue, and A4353 alone represents $18.5M (41.0% of total Medicaid revenue). This concentration signals that a small set of product lines—chiefly intermittent urinary catheter products—drive the bulk of cash flow.

The code mix shows this is predominantly a DME supplier focused on urinary catheterization and incontinence management. High-volume catheter codes such as A4353 (30.9K claims, $599 avg paid/claim, $18.5M revenue) and A4351 (41.1K claims, $85 avg paid/claim, $3.5M revenue) alongside large volumes of disposable underpads and protective underwear (e.g., A4554 85.8K claims, T4526 30.1K claims) point to an operation supplying both catheter systems and bulk incontinence consumables.

WILMINGTON MEDICAL SUPPLY is a dominant statewide supplier for intermittent urinary catheters: A4353 ranks #1 of 9 providers in-state (100th percentile; notably above typical state volume) and A4351 ranks #1 of 17 providers in-state (100th percentile; extreme outlier, far above typical state volume). Those top ranks and percentiles indicate the provider captures materially more catheter volume in North Carolina than most peers.

In the incontinence supplies segment the provider is a major, though not sole, participant: codes like A4554 (85.8K claims, $2.7M revenue) rank #5 of 201 providers (98th percentile) and several T-codes (T4526, T4527, T4534, T4522, T4528) sit in the mid-90s percentiles. This pattern suggests strong distribution and stocking capability for disposable briefs, pull-ons, and underpads across multiple size categories, but with more competitive distribution than the catheter niche.

Enteral feeding and pediatric formula lines are present but represent a much smaller share of Medicaid revenue. Examples include B4149 ($484K, 1.1% of total Medicaid revenue) and B4035 ($457.4K, 1.0% of total Medicaid revenue), indicating a modest ancillary role in enteral supplies relative to incontinence and catheter products.

The combination of Medicaid-only exposure and concentration in a handful of high-revenue codes creates operational and reimbursement risk: policy, coverage, or rate changes affecting catheter supplies (A4353/A4351) or key incontinence codes could materially affect revenue because the top 3 codes account for 54.6% of Medicaid revenue. Analysts should flag this concentration when assessing payer-contracting or reimbursement-sensitivity scenarios.

Scale is reflected in high claim counts across multiple product lines, demonstrating logistical capacity for high-volume supply distribution: e.g., A4351 41.1K claims, A4353 30.9K claims, and A4554 85.8K claims. These volumes, together with sustained enrollment since 2006-05-23 (~20 years ago), support classification as an established, high-volume Medicaid DME/supplies vendor in North Carolina.

Medicaid: Complete Services Breakdown

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

82 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A4353	Intermittent urinary catheter, with insertion supplies	30,890	$600	$18.5M
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	41,120	$90	$3.5M
A4554	Disposable underpads, all sizes	85,850	$30	$2.7M
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	30,120	$80	$2.3M
A4352	Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each	7,630	$300	$2.3M
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	24,980	$90	$2.2M
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	16,890	$90	$1.5M
T4522	Adult sized disposable incontinence product, brief/diaper, medium, each	16,060	$90	$1.4M
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	15,720	$90	$1.4M
T4532	Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each	13,400	$90	$1.1M

Showing 1–10 of 82

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Carolina Distribution

Wilmington Medical Supply Inc — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. North Carolina median

82 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T4541	Incontinence product, disposable underpad, large, each	2	10	18,580	$40	$10M
A4353	Intermittent urinary catheter, with insertion supplies	1	10	2,130	$630	$4.6M
T4532	Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each	3	20	1,420	$110	$2.3M
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	3	40	410	$110	$1.6M
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…	15	30	3,090	$330	$1.5M
T4533	Youth sized disposable incontinence product, brief/diaper, each	4	10	2,130	$90	$1.2M
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	6	20	1,770	$320	$954.7K
A4352	Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each	1	10	2,460	$290	$917.4K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	19	50	3,660	$140	$902.9K
T4544	Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each	8	40	590	$160	$747.6K

Showing 1–10 of 82

Nearby Providers

Other providers in the same ZIP code as Wilmington Medical Supply Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A2z Home Medical Supplies, Inc	NC	Durable Medical Equipment & Medical Supplies	$0	$47.4M
Maxim Healthcare Services, Inc.	NC	Home Health Agency	$0	$33.8M
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$28.3M
Physician Alliance For Mental Health, LLC	NC	Community/Behavioral Health Agency	$0	$28M
Easter Seals Ucp North Carolina & Virgiinia, Inc.	NC	Community/Behavioral Health Agency	$0	$19.2M
Bayada Home Health Care, Inc.	NC	Developmental Disabilities Clinic/Center	$0	$18M
Therapy Works Of Wilmington	NC	Speech-Language Pathologist	$0	$12.2M
Coastline Therapy Group, LLC	NC	Speech-Language Pathologist	$0	$11.8M
Pd Of Wilmington Inc	NC	In Home Supportive Care Agency	$0	$11.4M
Knox Clinic Pediatrics	NC	Specialist	$0	$9.9M

Wilmington Medical Supply Inc — Billing Profile & Reimbursement Data

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Wilmington Medical Supply Inc — 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