Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Respiratory & Medical Homecare Unlimited, INC.

Respiratory & Medical Homecare Unlimited, INC. was paid $10.37M by Medicaid between Aug 2019 and Dec 2024, across 63 billing codes. Its largest line is E0465, Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) — 16% of everything it billed.

33Billing provider infoRESPIRATORY & MEDICAL HOMECARE UNLIMITED, INC.
EL PASO, TX 79925
33aNPI1073539896assigned 07/14/2006
28Total paid$10.37M
24GClaims119,047
24DCodes billed63
24AFirst – last monthAug 2019 – Dec 2024
Compared with peers

Next to other Customized Equipment (DME) providers in Texas

Rank by total paid#7 of 91
Median peer was paid$402K
This provider vs. median26×

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.

Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
2019241$2K
20205,411$379K
202130,980$2.59M
202228,965$2.46M
202328,852$2.62M
2024incomplete24,598$2.32M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
E0465 Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) 16% 2,058 2,040 $1.65M
B4161 Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 12% 1,608 1,580 $1.23M
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 10% 9,659 9,572 $1.04M
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 9.8% 3,813 3,719 $1.01M
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 6.4% 2,863 2,821 $665K
B9998 Noc for enteral supplies 4.1% 4,987 4,156 $424K
B4149 Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 4.0% 969 963 $411K
A4606 Oxygen probe for use with oximeter device, replacement 3.7% 3,940 3,886 $383K
E0482 Cough stimulating device, alternating positive and negative airway pressure 3.4% 1,395 1,370 $349K
E0466 Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) 3.0% 471 454 $315K
E0445 Oximeter device for measuring blood oxygen levels non-invasively 2.7% 1,831 1,812 $278K
A4624 Tracheal suction catheter, any type other than closed system, each 2.7% 2,200 2,149 $277K
51 more codes
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 2.3% 818 $234K
A4629 Tracheostomy care kit for established tracheostomy 2.0% 2,168 $203K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 1.7% 9,186 $179K
E0570 Nebulizer, with compressor 1.6% 1,691 $163K
A7000 Canister, disposable, used with suction pump, each 1.2% 5,075 $127K
A4554 Disposable underpads, all sizes 1.2% 4,307 $127K
B9002 Enteral nutrition infusion pump, any type 1.2% 982 $126K
T4534 Youth sized disposable incontinence product, protective underwear/pull-on, each 1.1% 995 $111K
A7520 Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each 1.0% 1,828 $105K
T4530 Pediatric sized disposable incontinence product, brief/diaper, large size, each <1% 1,054 $97K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape <1% 790 $81K
A7526 Tracheostomy tube collar/holder, each <1% 2,609 $67K
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 4,629 $64K
A7002 Tubing, used with suction pump, each <1% 5,216 $61K
A7521 Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each <1% 388 $54K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" <1% 4,626 $54K
K0001 Standard wheelchair <1% 2,216 $52K
B4155 Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit <1% 165 $44K
E0424 Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing <1% 357 $39K
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml <1% 2,259 $34K
A4217 Sterile water/saline, 500 ml <1% 1,339 $29K
A4322 Irrigation syringe, bulb or piston, each <1% 3,414 $26K
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler <1% 1,041 $26K
A4335 Incontinence supply; miscellaneous <1% 5,152 $25K
A4605 Tracheal suction catheter, closed system, each <1% 171 $23K
K0195 Elevating leg rests, pair (for use with capped rental wheelchair base) <1% 2,239 $19K
A4628 Oral and/or oropharyngeal suction catheter, each <1% 3,492 $19K
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% 25 $18K
T4523 Adult sized disposable incontinence product, brief/diaper, large, each <1% 159 $15K
T4522 Adult sized disposable incontinence product, brief/diaper, medium, each <1% 138 $14K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each <1% 116 $13K
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 4,806 $12K
A4452 Tape, waterproof, per 18 square inches <1% 644 $12K
E0601 Continuous positive airway pressure (cpap) device <1% 247 $10K
A4481 Tracheostoma filter, any type, any size, each <1% 688 $10K
A6216 Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 838 $6K
E0776 Iv pole <1% 663 $6K
A6250 Skin sealants, protectants, moisturizers, ointments, any type, any size <1% 708 $5K
A7015 Aerosol mask, used with dme nebulizer <1% 2,896 $3K
A7030 Full face mask used with positive airway pressure device, each <1% 40 $3K
E0562 Humidifier, heated, used with positive airway pressure device <1% 174 $3K
A7007 Large volume nebulizer, disposable, unfilled, used with aerosol compressor <1% 556 $3K
E0990 Wheelchair accessory, elevating leg rest, complete assembly, each <1% 284 $3K
T4521 Adult sized disposable incontinence product, brief/diaper, small, each <1% 28 $3K
A7012 Water collection device, used with large volume nebulizer <1% 483 $2K
A7037 Tubing used with positive airway pressure device <1% 134 $2K
A7525 Tracheostomy mask, each <1% 735 $2K
A4332 Lubricant, individual sterile packet, each <1% 402 $1K
A7038 Filter, disposable, used with positive airway pressure device <1% 257 $952.35
A7035 Headgear used with positive airway pressure device <1% 13 $143.35
A7039 Filter, non disposable, used with positive airway pressure device <1% 12 $51.43

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 officialKOOGLER, BILLIE (PRESIDENT/OWNER)