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Within the DMEPOS sector, the Centers for Medicare and Medicaid Services (CMS) classifies patient location by zip code. There are four categories: Competitive Bidding Area, Non-Rural, Rural and Non-contiguous. What a supplier is going to be reimbursed could be dramatically different depending on the zip code that a given patient falls in.
The following maps utilize advanced mapping software which categorizes tens of thousands of zip codes in each state to its corresponding category. Additionally, these maps include locations of Critical Access Hospitals in each state. CMS updates zip codes on a quarterly basis, which can be found on their website. Click below to see your state!
Note: With the large amount of data that these maps hold, in the event of a periodic delay please allow a few moments for the map to load.
Nevada New Hampshire
New Jersey New Mexico
New York North Carolina
South Carolina South Dakota
Washington West Virginia
*Please note: This resource is only intended to be used as a guide. Please utilize the Medicare Administrative Contractor or CMS for a full list of zip codes and current reimbursement rates. Any inaccuracies may be reported to the Government Relations team by calling (800) 568-7039.
ENTER AN ADDRESS, EXPLORE NEW AREAS OF A STATE, OR FIND OUT WHERE A COMPETITIVE BIDDING AREA LINE FALLS WITH A SCROLL OF A MOUSE.
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