Adapthealth Patient Care Solutions LLC
Adapthealth Patient Care Solutions LLC was paid $46K by Medicaid between Aug 2018 and Jul 2021, across 23 billing codes. Its largest line is K0553, Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service — 25% of everything it billed.
MARLBOROUGH, MA 01752
Next to other Durable Medical Equipment & Medical Supplies providers in Massachusetts
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 57 | $115.75 | |
| 2019 | 1,397 | $10K | |
| 2020 | 2,257 | $25K | |
| 2021 | 596 | $11K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| K0553 | Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 25% | 241 | 222 | $12K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 17% | 315 | 243 | $8K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 10% | 114 | 87 | $5K |
| A6212 | Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing | 8.6% | 88 | 72 | $4K |
| T4541 | Incontinence product, disposable underpad, large, each | 5.6% | 133 | 98 | $3K |
| A4357 | Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each | 4.8% | 831 | 685 | $2K |
| A4927 | Gloves, non-sterile, per 100 | 4.7% | 414 | 355 | $2K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 3.7% | 307 | 270 | $2K |
| A4385 | Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each | 2.8% | 38 | 36 | $1K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 2.7% | 42 | 29 | $1K |
| A5120 | Skin barrier, wipes or swabs, each | 2.3% | 521 | 428 | $1K |
| A4216 | Sterile water, saline and/or dextrose, diluent/flush, 10 ml | 2.2% | 150 | 138 | $1K |
11 more codes
| A4335 | Incontinence supply; miscellaneous | 1.8% | 313 | $830.38 |
| A6197 | Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing | 1.6% | 17 | $750.46 |
| A6252 | Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing | 1.6% | 13 | $733.60 |
| A4314 | Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) | 1.4% | 181 | $631.97 |
| A4450 | Tape, non-waterproof, per 18 square inches | 1.1% | 185 | $496.08 |
| A4349 | Male external catheter, with or without adhesive, disposable, each | <1% | 55 | $441.78 |
| A6216 | Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 77 | $416.59 |
| A4358 | Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each | <1% | 151 | $395.17 |
| A4406 | Ostomy skin barrier, pectin-based, paste, per ounce | <1% | 26 | $153.54 |
| A4456 | Adhesive remover, wipes, any type, each | <1% | 41 | $135.20 |
| A4333 | Urinary catheter anchoring device, adhesive skin attachment, each | <1% | 54 | $58.04 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Home Nursing Care, INC | Richlands, VA | $4.50M |
| Braden Partners LP | Colorado Springs, CO | $3.96M |
| Aerocare Holdings, INC | Denver, CO | $3.49M |
| Aerocare Holdings, INC | Colorado Springs, CO | $3.15M |
| America's Healthcare at Home LLC | Halethorpe, MD | $2.92M |
| Medical Necessities & Services LLC | Nashville, TN | $2.68M |
| Medical Necessities & Services LLC | Hohenwald, TN | $2.37M |
| Aerocare Holdings, INC | Pueblo, CO | $2.07M |
| Bennett Medical Services | Las Vegas, NV | $1.97M |
| Aircare Home Respiratory LLC | Garden Grove, CA | $1.88M |
| Aerocare Holdings, INC | Alamosa, CO | $1.80M |
| Halprin, INC | Rochester, NY | $1.34M |
| Royal Medical Supply INC | Phoenixville, PA | $1.20M |
| Aerocare Holdings, INC | Windsor, CO | $1.09M |
| Hurst Medical Equipment INC | Charleston, WV | $958K |
| Patients First Medical Equipment of Spartanburg, LLC | Greer, SC | $908K |
| Aerocare Holdings, INC | Lafayette, CO | $896K |
| Aerocare Holdings, INC | Cortez, CO | $847K |
| Braden Partners LP | Lynnwood, WA | $763K |
| Hub's Home Oxygen & Medical Supplies, INC | Lewisburg, PA | $762K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.