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.

Lincare Inc. (NPI 1982779450)

Field	Value
Entity Type	Organization
Organization	Lincare Inc.
Address	4454 Nw Urbandale Dr
City	Urbandale
State	IA
ZIP	50322
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	November 21, 2006

Payer Source	Total Paid
Medicaid	$969K
Medicare	$0

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	16,500	$30	$544.5K
A7030	Full face mask used with positive airway pressure device, each	2,090	$40	$81.3K
A7031	Face mask interface, replacement for full face mask, each	3,160	$30	$79.1K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	9,660	$10	$77.3K
E0601	Continuous positive airway pressure (CPAP) device	1,350	$20	$32.5K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	1,160	$20	$22K
E0562	Humidifier, heated, used with positive airway pressure device	1,690	$10	$20.3K
A7032	Cushion for use on nasal mask interface, replacement only, each	1,010	$20	$17.1K
A7038	Filter, disposable, used with positive airway pressure device	5,440	$1	$16.3K
A7035	Headgear used with positive airway pressure device	1,980	$10	$15.8K

Showing 1–10 of 22

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

Lincare Inc. — 3 of 22 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

22 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	15	20	440	$140	$543.9K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	3	90	2,410	$70	$258.4K
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,…	8	10	640	$120	$199.7K
E0601	Continuous positive airway pressure (CPAP) device	40	110	1,020	$60	$118.8K
A7030	Full face mask used with positive airway pressure device, each	13	80	290	$90	$85.5K
E0470	Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive…	21	30	270	$110	$80.4K
E0570	Nebulizer, with compressor	18	70	330	$50	$63.4K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	11	50	180	$50	$52.2K
E0562	Humidifier, heated, used with positive airway pressure device	10	70	310	$60	$50.3K
A7031	Face mask interface, replacement for full face mask, each	7	80	300	$40	$47.4K

Showing 1–10 of 22

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mosaic	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$177.4M
The Respite Connection, Inc.	IA	Community/Behavioral Health Agency	$0	$38.1M
Unitypoint At Home	IA	Durable Medical Equipment & Medical Supplies	$0	$16.5M
Unitypoint At Home	IA	Home Infusion Therapy Pharmacy	$0	$15.4M
New Beginnings Counseling Service, LLC	IA	Community/Behavioral Health Agency	$0	$6.3M
A-1 Iowa Dental PLLC	IA	Dentist	$0	$5.4M
Urbandale Community School District	IA	Local Education Agency (LEA)	$0	$4.4M
Primary Health Care, Inc.	IA	Federally Qualified Health Center (FQHC)	$0	$3.9M
Acs Medical LLC	IA	Durable Medical Equipment & Medical Supplies	$0	$3.6M
Wellserve Health, Inc.	IA	Community/Behavioral Health Agency	$0	$2.8M

Lincare Inc. — Billing Profile & Reimbursement Data

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Lincare 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

Nearby Providers

Frequently Asked Questions

References