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

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

Vgm Group, Inc. (NPI 1972916310)

Field	Value
Entity Type	Organization
Organization	Vgm Group, Inc.
Address	1111 Van Miller Way
City	Waterloo
State	IA
ZIP	50701
Taxonomy	Case Management Agency
NPI Enumerated	June 3, 2014

Payer Source	Total Paid
Medicaid	$5.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	3,210	$530	$1.7M
B9998	Noc for enteral supplies	6,660	$150	$1M
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…	1,540	$430	$666K
E0445	Oximeter device for measuring blood oxygen levels non-invasively	3,220	$190	$605K
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,…	1,120	$250	$275.4K
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	1,700	$160	$267.8K
A4606	Oxygen probe for use with oximeter device, replacement	1,350	$150	$198.4K
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	570	$310	$177.3K
B9002	Enteral nutrition infusion pump, any type	1,680	$80	$141.1K
A9999	Miscellaneous dme supply or accessory, not otherwise specified	4,100	$20	$98.4K

Showing 1–10 of 20

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Iowa Distribution

Vgm Group, Inc. — 2 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. Iowa median

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	7	20	440	$140	$543.9K
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…	3	10	1,030	$360	$413.4K
B9998	Noc for enteral supplies	3	10	1,810	$80	$325.7K
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	4	10	1,130	$200	$279.4K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	69	90	2,410	$70	$258.4K
E0445	Oximeter device for measuring blood oxygen levels non-invasively	1	10	300	$220	$248.4K
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	5	10	20	$480	$238.2K
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,…	4	10	640	$120	$199.7K
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	4	10	1,340	$150	$196.8K
B9002	Enteral nutrition infusion pump, any type	4	10	1,680	$80	$120.7K

Showing 1–10 of 20

Related Providers

Other providers that share a Tax Identification Number (TIN) with Vgm Group, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vgm Group, Inc.	IA	Durable Medical Equipment & Medical Supplies	$0	$54.4M
Option Care Home Care Inc	WI	Pharmacy	$0	$12.5M
Vgm Group, Inc.	IA	Case Management Agency	$0	$1.5M
Apria Healthcare LLC	WI	Durable Medical Equipment & Medical Supplies	$0	$1.3M
National Seating & Mobility Inc	WI	Durable Medical Equipment & Medical Supplies	$0	$1.2M
Sanford Healthcare Accessories, LLC	ND	Durable Medical Equipment & Medical Supplies	$0	$148.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Exceptional Persons Inc	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$80.3M
Goodwill Industries Of Ne Iowa Inc	IA	Community Based Hospice Care Agency	$0	$52.5M
Veridian Fiscal Solutions LLC	IA	Community/Behavioral Health Agency	$0	$47M
North Star Community Services, Inc	IA	Developmentally Disabled Services Day Training Agency	$0	$26.7M
Families First Counseling Services Of Iowa, L.L.C.	IA	Community/Behavioral Health Agency	$0	$16.3M
Resources For Human Development	IA	Community/Behavioral Health Agency	$0	$13.1M
Cedar Valley Community Support Services	IA	Developmentally Disabled Services Day Training Agency	$0	$11.1M
Pathways Behavioral Services Inc	IA	Community/Behavioral Health Agency	$0	$4.5M
Kenny Rodriguez	IA	Otolaryngology Physician	$3.2M	$0
Exceptional Persons Inc	IA	Community/Behavioral Health Agency	$0	$2.8M

Vgm Group, Inc. — Billing Profile & Reimbursement Data

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Vgm Group, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References