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

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

Total Medical Supply Inc (NPI 1992736425)

Field	Value
Entity Type	Organization
Organization	Total Medical Supply Inc
Address	5610 Richmond Rd
City	Texarkana
State	TX
ZIP	75503
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	July 5, 2006

Payer Source	Total Paid
Medicaid	$42.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T4532	Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each	145,940	$110	$16.2M
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	73,090	$70	$4.8M
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,…	28,390	$120	$3.5M
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	35,850	$70	$2.4M
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	57,700	$40	$2.1M
T4530	Pediatric sized disposable incontinence product, brief/diaper, large size, each	22,330	$90	$2.1M
B4100	Food thickener, administered orally, per ounce	19,470	$90	$1.7M
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…	13,190	$120	$1.6M
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	12,800	$100	$1.2M
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	12,300	$90	$1.1M

Showing 1–10 of 37

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Total Medical Supply Inc — 17 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9274	External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories	7	10	810	$500	$4M
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,…	3	50	2,810	$150	$3.2M
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	1	30	2,590	$240	$1.9M
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	1	30	3,080	$150	$1.3M
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	10	260	1,830	$100	$490.9K
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	11	40	1,070	$140	$451.8K
T4544	Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each	12	70	630	$150	$413.4K
T4532	Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each	1	90	550	$120	$403.4K
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	51	70	970	$80	$383.3K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	8	220	1,130	$130	$371.8K

Showing 1–10 of 37

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lifenet, Inc.	TX	Land Ambulance	$7.2M	$19.9M
Texarkana Special Education Center, Inc.	TX	Developmentally Disabled Services Day Training Agency	$0	$19.4M
Christus Health Ark-la-tex	TX	General Acute Care Hospital	$0	$15.6M
East Texas Border Health Clinic	TX	Federally Qualified Health Center (FQHC)	$0	$10.9M
Texarkana Surgery Center LP	TX	Ambulatory Surgical Clinic/Center	$810.8K	$2.4M
Precision Surgery Center, LLC.	TX	Ambulatory Surgical Clinic/Center	$1.5M	$0
Tglp, LP	TX	Ambulatory Surgical Clinic/Center	$940.7K	$440.3K
Roshan George	TX	Retina Specialist (Ophthalmology) Physician	$1.1M	$0
Hai Tran	TX	Radiation Oncology Physician	$1.1M	$0
Surgery Center Of Northeast Texas LLC	TX	Ambulatory Surgical Clinic/Center	$990.8K	$59.3K

Total Medical Supply Inc — Billing Profile & Reimbursement Data

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Total Medical Supply 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