Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Bethlehem › NPI 1003154352
Supplier

Royal Homestar LLC

Royal Homestar LLC was paid $22.55M by Medicaid between Jan 2018 and Dec 2024, across 119 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 13% of everything it billed.

33Billing provider infoROYAL HOMESTAR LLC
BETHLEHEM, PA 18020
33aNPI1003154352assigned 01/22/2013
28Total paid$22.55M
24GClaims631,726
24DCodes billed119
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Prosthetic/Orthotic Supplier providers in Pennsylvania

Rank by total paid#1 of 37
Median peer was paid$105K
This provider vs. median215×

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.

Entity ProliferationAuthorized official RUSSALESI, WENDY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
201827,491$346K
201927,820$335K
202023,456$810K
2021120,538$4.61M
2022124,159$4.51M
2023161,961$5.96M
2024incomplete146,301$5.98M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 13% 45,990 44,561 $2.86M
E0601 Continuous positive airway pressure (cpap) device 8.3% 42,203 40,889 $1.88M
A7030 Full face mask used with positive airway pressure device, each 7.2% 23,691 22,936 $1.61M
E0466 Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) 6.6% 3,112 3,015 $1.49M
A7031 Face mask interface, replacement for full face mask, each 5.8% 45,636 43,977 $1.31M
E0465 Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) 4.1% 563 518 $919K
A4604 Tubing with integrated heating element for use with positive airway pressure device 3.7% 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) 3.4% 8,928 8,656 $774K
A7032 Cushion for use on nasal mask interface, replacement only, each 3.2% 21,876 20,881 $724K
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap 3.1% 15,148 14,713 $696K
E0603 Breast pump, electric (ac and/or dc), any type 3.0% 4,619 4,404 $676K
E0562 Humidifier, heated, used with positive airway pressure device 2.9% 6,154 5,962 $664K
107 more codes
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf 2.8% 4,785 $624K
E0570 Nebulizer, with compressor 2.7% 25,786 $618K
E0260 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress 2.4% 16,257 $552K
E0565 Compressor, air power source for equipment which is not self-contained or cylinder driven 1.8% 1,460 $413K
A7038 Filter, disposable, used with positive airway pressure device 1.4% 85,452 $326K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 1.4% 28,901 $314K
A7035 Headgear used with positive airway pressure device 1.4% 23,095 $312K
E0143 Walker, folding, wheeled, adjustable or fixed height 1.3% 7,954 $298K
A7033 Pillow for use on nasal cannula type interface, replacement only, pair 1.2% 11,918 $264K
K0001 Standard wheelchair 1.1% 15,196 $250K
L3809 Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type <1% 2,046 $207K
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape <1% 1,758 $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) <1% 911 $188K
K0003 Lightweight wheelchair <1% 6,489 $168K
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips <1% 7,134 $161K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf <1% 5,002 $145K
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each <1% 18,263 $140K
A4623 Tracheostomy, inner cannula <1% 1,212 $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% 1,470 $121K
E2611 General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware <1% 1,335 $121K
L3660 Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf <1% 2,651 $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 <1% 255 $119K
B9002 Enteral nutrition infusion pump, any type <1% 2,287 $95K
E0163 Commode chair, mobile or stationary, with fixed arms <1% 3,379 $92K
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf <1% 2,292 $88K
E0482 Cough stimulating device, alternating positive and negative airway pressure <1% 351 $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 <1% 872 $81K
A4624 Tracheal suction catheter, any type other than closed system, each <1% 1,196 $80K
A7037 Tubing used with positive airway pressure device <1% 5,421 $80K
E0630 Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) <1% 3,901 $76K
A7039 Filter, non disposable, used with positive airway pressure device <1% 13,479 $74K
E0600 Respiratory suction pump, home model, portable or stationary, electric <1% 2,939 $72K
L1812 Knee orthosis, elastic with joints, prefabricated, off-the-shelf <1% 1,540 $67K
E0185 Gel or gel-like pressure pad for mattress, standard mattress length and width <1% 1,063 $63K
E1392 Portable oxygen concentrator, rental <1% 6,782 $63K
K0006 Heavy duty wheelchair <1% 1,629 $62K
K0004 High strength, lightweight wheelchair <1% 1,239 $59K
L1902 Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf <1% 1,454 $56K
E0971 Manual wheelchair accessory, anti-tipping device, each <1% 2,284 $54K
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf <1% 1,455 $51K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape <1% 922 $51K
E0265 Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress <1% 713 $49K
K0007 Extra heavy duty wheelchair <1% 739 $49K
A4606 Oxygen probe for use with oximeter device, replacement <1% 1,058 $47K
E0445 Oximeter device for measuring blood oxygen levels non-invasively <1% 2,444 $45K
E0973 Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each <1% 1,380 $42K
K0195 Elevating leg rests, pair (for use with capped rental wheelchair base) <1% 9,047 $40K
E0240 Bath/shower chair, with or without wheels, any size <1% 1,661 $39K
L1833 Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf <1% 190 $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 <1% 2,411 $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% 1,232 $36K
A7526 Tracheostomy tube collar/holder, each <1% 1,327 $34K
E2601 General use wheelchair seat cushion, width less than 22 inches, any depth <1% 1,811 $34K
A4629 Tracheostomy care kit for established tracheostomy <1% 778 $33K
E0247 Transfer bench for tub or toilet with or without commode opening <1% 580 $33K
A7507 Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each <1% 748 $33K
A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable <1% 2,196 $26K
E0277 Powered pressure-reducing air mattress <1% 622 $25K
A7520 Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each <1% 814 $24K
E2201 Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches <1% 299 $23K
E0149 Walker, heavy duty, wheeled, rigid or folding, any type <1% 678 $22K
E0776 Iv pole <1% 2,371 $20K
E0261 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress <1% 403 $19K
A4628 Oral and/or oropharyngeal suction catheter, each <1% 1,278 $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 <1% 141 $15K
B9998 Noc for enteral supplies <1% 142 $13K
A7000 Canister, disposable, used with suction pump, each <1% 1,837 $12K
E0961 Manual wheelchair accessory, wheel lock brake extension (handle), each <1% 1,057 $12K
A7036 Chinstrap used with positive airway pressure device <1% 1,570 $11K
A6530 Gradient compression stocking, below knee, 18-30 mmhg, each <1% 266 $11K
E0165 Commode chair, mobile or stationary, with detachable arms <1% 1,172 $11K
A4927 Gloves, non-sterile, per 100 <1% 780 $11K
E0156 Seat attachment, walker <1% 1,516 $10K
E1038 Transport chair, adult size, patient weight capacity up to and including 300 pounds <1% 1,796 $8K
E0181 Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty <1% 1,336 $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 <1% 27 $7K
L3924 Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf <1% 263 $7K
A7002 Tubing, used with suction pump, each <1% 1,840 $6K
L3670 Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf <1% 112 $6K
E0951 Heel loop/holder, any type, with or without ankle strap, each <1% 768 $6K
L2795 Addition to lower extremity orthosis, knee control, full kneecap <1% 176 $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 <1% 15 $4K
A4217 Sterile water/saline, 500 ml <1% 505 $4K
E1226 Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each <1% 268 $4K
E0250 Hospital bed, fixed height, with any type side rails, with mattress <1% 234 $4K
E0100 Cane, includes canes of all materials, adjustable or fixed, with tip <1% 423 $3K
L4387 Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf <1% 41 $3K
E0244 Raised toilet seat <1% 70 $2K
A7010 Corrugated tubing, disposable, used with large volume nebulizer, 100 feet <1% 143 $2K
A7015 Aerosol mask, used with dme nebulizer <1% 1,609 $1K
A7521 Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each <1% 37 $1K
E0978 Wheelchair accessory, positioning belt/safety belt/pelvic strap, each <1% 43 $826.67
L3260 Surgical boot/shoe, each <1% 367 $787.26
A7013 Filter, disposable, used with aerosol compressor or ultrasonic generator <1% 1,889 $763.66
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml <1% 124 $750.87
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler <1% 64 $743.06
A7007 Large volume nebulizer, disposable, unfilled, used with aerosol compressor <1% 215 $683.54
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 84 $650.16
A7525 Tracheostomy mask, each <1% 494 $572.19
A4565 Slings <1% 119 $548.47
E0271 Mattress, innerspring <1% 16 $535.08
E1020 Residual limb support system for wheelchair, any type <1% 40 $454.46
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each <1% 27 $331.96
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 170 $316.72
K0002 Standard hemi (low seat) wheelchair <1% 13 $242.37
A7012 Water collection device, used with large volume nebulizer <1% 27 $56.30
A4450 Tape, non-waterproof, per 18 square inches <1% 12 $19.46

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 officialRUSSALESI, WENDY (CCO)
Same official

Other billing entities under RUSSALESI, WENDY

Full network →
ProviderLocationPaid
Med Star Surgical & Breathing Equipment INC.Bronx, NY$138.92M
Adapthealth Patient Care Solutions LLCBeaver, PA$93.56M
Lifehme, INC.Columbia, SC$45.59M
Ocean Home Health Supply, LLCLakewood, NJ$28.09M
Rocky Mountain Medical Equipment, INC.Lakewood, CO$26.94M
Pal-Med, LLCColumbia, SC$26.18M
Fletcher's Medical Supplies, INC.Jacksonville, FL$17.46M
Roberts Home Medical LLCGermantown, MD$17.42M
Community Surgical Supply of Toms River LLCToms River, NJ$16.94M
First Choice Home Medical Equipment, LLCNew Castle, DE$16.92M
Cape Medical Supply LLCSandwich, MA$15.74M
Rocky Mountain Medical Equipment LLCColorado Springs, CO$15.44M
Roberts Home Medical LLCNorth Chesterfield, VA$13.12M
Tricounty Medical Equipment and Supply, LLCPhiladelphia, PA$13.09M
Health Complex Medical LLCWaterbury, CT$13.03M
Keene Medical Products, LLCEnfield, NH$10.37M
Respiratory Home Care of Bristol, LLCChattanooga, TN$10.11M
Wecare Medical, LLCAshland, KY$9.90M
Airway Oxygen INCWyoming, MI$8.28M
American Ancillaries, INC.Las Vegas, NV$8.00M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.