Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ROYAL HOMESTAR LLC

NPI: 1003154352 · BETHLEHEM, PA 18020 · Prosthetic/Orthotic Supplier · NPI assigned 01/22/2013

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official RUSSALESI, WENDY controls 20+ related entities in our dataset. Read more

$22.55M
Total Medicaid Paid
631,726
Total Claims
606,072
Beneficiaries
119
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSALESI, WENDY (CCO)
NPI Enumeration Date01/22/2013

Related Entities

Other providers sharing the same authorized official: RUSSALESI, WENDY

ProviderCityStateTotal Paid
MED STAR SURGICAL & BREATHING EQUIPMENT INC. BRONX NY $138.92M
ADAPTHEALTH PATIENT CARE SOLUTIONS LLC BEAVER PA $93.56M
LIFEHME, INC. COLUMBIA SC $45.59M
OCEAN HOME HEALTH SUPPLY, LLC LAKEWOOD NJ $28.09M
ROCKY MOUNTAIN MEDICAL EQUIPMENT, INC. LAKEWOOD CO $26.94M
PAL-MED, LLC COLUMBIA SC $26.18M
FLETCHER'S MEDICAL SUPPLIES, INC. JACKSONVILLE FL $17.46M
ROBERTS HOME MEDICAL LLC GERMANTOWN MD $17.42M
COMMUNITY SURGICAL SUPPLY OF TOMS RIVER LLC TOMS RIVER NJ $16.94M
FIRST CHOICE HOME MEDICAL EQUIPMENT, LLC NEW CASTLE DE $16.92M
CAPE MEDICAL SUPPLY LLC SANDWICH MA $15.74M
ROCKY MOUNTAIN MEDICAL EQUIPMENT LLC COLORADO SPRINGS CO $15.44M
ROBERTS HOME MEDICAL LLC NORTH CHESTERFIELD VA $13.12M
TRICOUNTY MEDICAL EQUIPMENT AND SUPPLY, LLC PHILADELPHIA PA $13.09M
HEALTH COMPLEX MEDICAL LLC WATERBURY CT $13.03M
KEENE MEDICAL PRODUCTS, LLC ENFIELD NH $10.37M
RESPIRATORY HOME CARE OF BRISTOL, LLC CHATTANOOGA TN $10.11M
WECARE MEDICAL, LLC ASHLAND KY $9.90M
AIRWAY OXYGEN INC WYOMING MI $8.28M
AMERICAN ANCILLARIES, INC. LAS VEGAS NV $8.00M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27,491 $346K
2019 27,820 $335K
2020 23,456 $810K
2021 120,538 $4.61M
2022 124,159 $4.51M
2023 161,961 $5.96M
2024 146,301 $5.98M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 45,990 44,561 $2.86M
E0601 Continuous positive airway pressure (cpap) device 42,203 40,889 $1.88M
A7030 Full face mask used with positive airway pressure device, each 23,691 22,936 $1.61M
E0466 Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) 3,112 3,015 $1.49M
A7031 Face mask interface, replacement for full face mask, each 45,636 43,977 $1.31M
E0465 Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) 563 518 $919K
A4604 Tubing with integrated heating element for use with positive airway pressure device 33,363 32,303 $839K
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 airway pressure device) 8,928 8,656 $774K
A7032 Cushion for use on nasal mask interface, replacement only, each 21,876 20,881 $724K
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap 15,148 14,713 $696K
E0603 Breast pump, electric (ac and/or dc), any type 4,619 4,404 $676K
E0562 Humidifier, heated, used with positive airway pressure device 6,154 5,962 $664K
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf 4,785 4,554 $624K
E0570 Nebulizer, with compressor 25,786 24,954 $618K
E0260 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress 16,257 15,750 $552K
E0565 Compressor, air power source for equipment which is not self-contained or cylinder driven 1,460 1,403 $413K
A7038 Filter, disposable, used with positive airway pressure device 85,452 80,903 $326K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 28,901 27,928 $314K
A7035 Headgear used with positive airway pressure device 23,095 22,417 $312K
E0143 Walker, folding, wheeled, adjustable or fixed height 7,954 7,618 $298K
A7033 Pillow for use on nasal cannula type interface, replacement only, pair 11,918 11,373 $264K
K0001 Standard wheelchair 15,196 14,737 $250K
L3809 Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type 2,046 1,894 $207K
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 1,758 1,581 $197K
E0471 Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) 911 876 $188K
K0003 Lightweight wheelchair 6,489 6,283 $168K
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips 7,134 6,852 $161K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 5,002 4,285 $145K
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each 18,263 17,757 $140K
A4623 Tracheostomy, inner cannula 1,212 1,151 $130K
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 calories = 1 unit 1,470 1,327 $121K
E2611 General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware 1,335 1,280 $121K
L3660 Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf 2,651 2,514 $119K
E0483 High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each 255 254 $119K
B9002 Enteral nutrition infusion pump, any type 2,287 2,237 $95K
E0163 Commode chair, mobile or stationary, with fixed arms 3,379 3,237 $92K
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf 2,292 2,192 $88K
E0482 Cough stimulating device, alternating positive and negative airway pressure 351 340 $85K
B4152 Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 872 797 $81K
A4624 Tracheal suction catheter, any type other than closed system, each 1,196 1,116 $80K
A7037 Tubing used with positive airway pressure device 5,421 5,270 $80K
E0630 Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) 3,901 3,784 $76K
A7039 Filter, non disposable, used with positive airway pressure device 13,479 13,017 $74K
E0600 Respiratory suction pump, home model, portable or stationary, electric 2,939 2,845 $72K
L1812 Knee orthosis, elastic with joints, prefabricated, off-the-shelf 1,540 1,358 $67K
E0185 Gel or gel-like pressure pad for mattress, standard mattress length and width 1,063 1,019 $63K
E1392 Portable oxygen concentrator, rental 6,782 6,605 $63K
K0006 Heavy duty wheelchair 1,629 1,555 $62K
K0004 High strength, lightweight wheelchair 1,239 1,215 $59K
L1902 Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf 1,454 1,354 $56K
E0971 Manual wheelchair accessory, anti-tipping device, each 2,284 1,877 $54K
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf 1,455 1,373 $51K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 922 838 $51K
E0265 Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress 713 683 $49K
K0007 Extra heavy duty wheelchair 739 712 $49K
A4606 Oxygen probe for use with oximeter device, replacement 1,058 974 $47K
E0445 Oximeter device for measuring blood oxygen levels non-invasively 2,444 2,285 $45K
E0973 Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each 1,380 1,074 $42K
K0195 Elevating leg rests, pair (for use with capped rental wheelchair base) 9,047 8,728 $40K
E0240 Bath/shower chair, with or without wheels, any size 1,661 1,605 $39K
L1833 Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf 190 180 $38K
K0738 Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing 2,411 2,333 $38K
L1820 Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 1,232 1,126 $36K
A7526 Tracheostomy tube collar/holder, each 1,327 1,269 $34K
E2601 General use wheelchair seat cushion, width less than 22 inches, any depth 1,811 1,717 $34K
A4629 Tracheostomy care kit for established tracheostomy 778 740 $33K
E0247 Transfer bench for tub or toilet with or without commode opening 580 548 $33K
A7507 Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each 748 712 $33K
A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable 2,196 2,105 $26K
E0277 Powered pressure-reducing air mattress 622 606 $25K
A7520 Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each 814 780 $24K
E2201 Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches 299 285 $23K
E0149 Walker, heavy duty, wheeled, rigid or folding, any type 678 660 $22K
E0776 Iv pole 2,371 2,334 $20K
E0261 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress 403 396 $19K
A4628 Oral and/or oropharyngeal suction catheter, each 1,278 1,200 $18K
E0303 Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress 141 135 $15K
B9998 Noc for enteral supplies 142 127 $13K
A7000 Canister, disposable, used with suction pump, each 1,837 1,716 $12K
E0961 Manual wheelchair accessory, wheel lock brake extension (handle), each 1,057 840 $12K
A7036 Chinstrap used with positive airway pressure device 1,570 1,534 $11K
A6530 Gradient compression stocking, below knee, 18-30 mmhg, each 266 186 $11K
E0165 Commode chair, mobile or stationary, with detachable arms 1,172 1,135 $11K
A4927 Gloves, non-sterile, per 100 780 731 $11K
E0156 Seat attachment, walker 1,516 1,477 $10K
E1038 Transport chair, adult size, patient weight capacity up to and including 300 pounds 1,796 1,760 $8K
E0181 Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty 1,336 1,288 $8K
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, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 27 26 $7K
L3924 Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf 263 230 $7K
A7002 Tubing, used with suction pump, each 1,840 1,735 $6K
L3670 Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf 112 104 $6K
E0951 Heel loop/holder, any type, with or without ankle strap, each 768 591 $6K
L2795 Addition to lower extremity orthosis, knee control, full kneecap 176 151 $5K
L1851 Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf 15 12 $4K
A4217 Sterile water/saline, 500 ml 505 493 $4K
E1226 Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each 268 245 $4K
E0250 Hospital bed, fixed height, with any type side rails, with mattress 234 232 $4K
E0100 Cane, includes canes of all materials, adjustable or fixed, with tip 423 410 $3K
L4387 Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf 41 38 $3K
E0244 Raised toilet seat 70 67 $2K
A7010 Corrugated tubing, disposable, used with large volume nebulizer, 100 feet 143 128 $2K
A7015 Aerosol mask, used with dme nebulizer 1,609 1,529 $1K
A7521 Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each 37 36 $1K
E0978 Wheelchair accessory, positioning belt/safety belt/pelvic strap, each 43 40 $826.67
L3260 Surgical boot/shoe, each 367 346 $787.26
A7013 Filter, disposable, used with aerosol compressor or ultrasonic generator 1,889 1,816 $763.66
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 124 120 $750.87
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler 64 64 $743.06
A7007 Large volume nebulizer, disposable, unfilled, used with aerosol compressor 215 196 $683.54
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 84 80 $650.16
A7525 Tracheostomy mask, each 494 469 $572.19
A4565 Slings 119 118 $548.47
E0271 Mattress, innerspring 16 14 $535.08
E1020 Residual limb support system for wheelchair, any type 40 37 $454.46
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each 27 27 $331.96
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 170 154 $316.72
K0002 Standard hemi (low seat) wheelchair 13 12 $242.37
A7012 Water collection device, used with large volume nebulizer 27 24 $56.30
A4450 Tape, non-waterproof, per 18 square inches 12 12 $19.46