Zynex Medical INC

Zynex Medical INC was paid $1.26M by Medicaid between Jan 2018 and Feb 2020, across 3 billing codes. Its largest line is A4556, Electrodes, (e.g., apnea monitor), per pair — 95% of everything it billed.

33Billing provider infoZYNEX MEDICAL INC
LONE TREE, CO 80124

33aNPI1932537941assigned 10/30/2013

33bProvider typePharmacy

28Total paid$1.26M

24GClaims1,900

24DCodes billed3

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other Pharmacy providers in Colorado

Rank by total paid#2 of 86

Median peer was paid$12K

This provider vs. median106×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration95% of spending on code A4556 with only 3 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	574	$438K
2019	1,172	$745K
2020	154	$79K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A4556	Electrodes, (e.g., apnea monitor), per pair	95%	904	518	$1.20M
A4630	Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient	4.3%	630	378	$54K
A4557	Lead wires, (e.g., apnea monitor), per pair	<1%	366	335	$6K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialROSENFELDER, W. MICHAEL (PHARMACY MANAGER)