Look up the Medicare allowed for any HCPCS - floor, national average, and ceiling - then check it against what a payer actually pays you. Every figure traces to a real CMS row, refreshed quarterly. No PHI.
DME reimbursement follows the Medicare fee schedule, not a payer negotiation, and the allowed amount shifts by area between a competitive-bid floor and a rural ceiling. Payers quietly pay under the floor, cut units, or deny same-or-similar items, and most suppliers never line the allowed up against the published schedule. Commercial and Medicare Advantage plans negotiate separately, so the gap sits unbilled until someone checks every code.
Search any HCPCS against the public CMS DMEPOS fee schedule, refreshed quarterly, for its national average with the competitive-bid floor and rural ceiling.
Enter what a payer actually pays and we place it against the floor, average, and ceiling, flagging anything below the floor as a rebill or appeal, all on-device with no PHI.
Pair it with DME Radar to scan your 835 remits for unit reductions and same-or-similar denials against these exact amounts, with capped-rental and KX/GA rules applied.
Open the DME Fee Schedule free, look up any HCPCS, and check your allowed against the CMS floor, average, and ceiling. Bring your NPI and we will walk your below-floor codes with you.
