Supplier
Medco Respiratory Instruments, INC.
Medco Respiratory Instruments, INC. was paid $171.57M by Medicaid between Jan 2018 and Dec 2024, across 128 billing codes. Its largest line is 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 — 19% of everything it billed.
33Billing provider infoMEDCO RESPIRATORY INSTRUMENTS, INC.
HOUSTON, TX 77095
HOUSTON, TX 77095
33aNPI1093789901assigned 02/15/2006
33bProvider typeParenteral & Enteral Nutrition Supplies (DME)
28Total paid$171.57M
24GClaims1,601,843
24DCodes billed128
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Parenteral & Enteral Nutrition Supplies (DME) providers in Texas
Rank by total paid#1 of 81
Median peer was paid$653K
This provider vs. median263×
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 BUCKHALTER, MATTHEW controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 46,370 | $3.21M | |
| 2019 | 52,399 | $3.86M | |
| 2020 | 125,752 | $12.42M | |
| 2021 | 375,241 | $42.20M | |
| 2022 | 364,199 | $38.82M | |
| 2023 | 331,966 | $38.26M | |
| 2024incomplete | 305,916 | $32.80M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 19% | 55,871 | 46,564 | $31.81M |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 15% | 126,795 | 102,869 | $25.11M |
| 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 | 13% | 114,426 | 99,346 | $22.52M |
| B9998 | Noc for enteral supplies | 5.9% | 137,518 | 111,420 | $10.04M |
| T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | 4.2% | 70,945 | 64,735 | $7.16M |
| B4153 | Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 3.7% | 7,232 | 6,233 | $6.38M |
| 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 | 3.5% | 18,853 | 15,677 | $5.98M |
| A4554 | Disposable underpads, all sizes | 2.9% | 169,685 | 160,072 | $5.03M |
| 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 | 2.8% | 24,182 | 21,320 | $4.87M |
| 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 | 2.1% | 22,527 | 19,619 | $3.60M |
| 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 | 2.0% | 18,044 | 15,550 | $3.38M |
| T4530 | Pediatric sized disposable incontinence product, brief/diaper, large size, each | 1.8% | 39,736 | 36,265 | $3.12M |
116 more codes
| B4154 | Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 1.5% | 7,529 | $2.61M |
| T4532 | Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each | 1.4% | 19,775 | $2.42M |
| E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | 1.4% | 3,038 | $2.37M |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 1.3% | 23,589 | $2.29M |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 1.3% | 25,690 | $2.25M |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | 1.3% | 25,802 | $2.25M |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 1.1% | 17,465 | $1.92M |
| B9002 | Enteral nutrition infusion pump, any type | 1.0% | 24,123 | $1.79M |
| B4158 | Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit | 1.0% | 10,513 | $1.77M |
| A4606 | Oxygen probe for use with oximeter device, replacement | <1% | 13,174 | $1.45M |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | <1% | 14,009 | $1.35M |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | <1% | 12,682 | $1.31M |
| A4335 | Incontinence supply; miscellaneous | <1% | 230,214 | $1.24M |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | <1% | 8,902 | $1.22M |
| B4162 | Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 1,522 | $1.11M |
| A4353 | Intermittent urinary catheter, with insertion supplies | <1% | 2,021 | $1.03M |
| B4104 | Additive for enteral formula (e.g., fiber) | <1% | 9,039 | $923K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | <1% | 31,445 | $897K |
| A4351 | Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each | <1% | 6,615 | $850K |
| E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | <1% | 1,026 | $729K |
| A4624 | Tracheal suction catheter, any type other than closed system, each | <1% | 4,955 | $687K |
| T4525 | Adult sized disposable incontinence product, protective underwear/pull-on, small size, each | <1% | 8,161 | $648K |
| E0445 | Oximeter device for measuring blood oxygen levels non-invasively | <1% | 5,362 | $647K |
| T4521 | Adult sized disposable incontinence product, brief/diaper, small, each | <1% | 7,278 | $596K |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | <1% | 4,852 | $575K |
| B4103 | Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit | <1% | 7,875 | $508K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | <1% | 18,212 | $487K |
| A7000 | Canister, disposable, used with suction pump, each | <1% | 15,670 | $471K |
| A4629 | Tracheostomy care kit for established tracheostomy | <1% | 4,070 | $371K |
| T4544 | Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each | <1% | 2,016 | $347K |
| B4036 | Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 2,372 | $298K |
| T4533 | Youth sized disposable incontinence product, brief/diaper, each | <1% | 3,270 | $277K |
| B4100 | Food thickener, administered orally, per ounce | <1% | 7,610 | $277K |
| A7002 | Tubing, used with suction pump, each | <1% | 16,178 | $273K |
| A4605 | Tracheal suction catheter, closed system, each | <1% | 1,985 | $271K |
| A4385 | Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each | <1% | 2,846 | $249K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 11,731 | $223K |
| E0482 | Cough stimulating device, alternating positive and negative airway pressure | <1% | 886 | $222K |
| A4217 | Sterile water/saline, 500 ml | <1% | 3,983 | $203K |
| A5061 | Ostomy pouch, drainable; with barrier attached, (1 piece), each | <1% | 3,101 | $197K |
| A6209 | Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 1,255 | $179K |
| A7526 | Tracheostomy tube collar/holder, each | <1% | 5,069 | $174K |
| E0776 | Iv pole | <1% | 17,985 | $157K |
| T4531 | Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each | <1% | 1,552 | $152K |
| E0600 | Respiratory suction pump, home model, portable or stationary, electric | <1% | 1,568 | $141K |
| A4483 | Moisture exchanger, disposable, for use with invasive mechanical ventilation | <1% | 2,371 | $118K |
| B4081 | Nasogastric tubing with stylet | <1% | 2,323 | $108K |
| A7520 | Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each | <1% | 2,726 | $104K |
| B4082 | Nasogastric tubing without stylet | <1% | 2,573 | $103K |
| A6234 | Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 1,651 | $98K |
| A4216 | Sterile water, saline and/or dextrose, diluent/flush, 10 ml | <1% | 4,774 | $92K |
| A4409 | Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each | <1% | 1,118 | $88K |
| A4628 | Oral and/or oropharyngeal suction catheter, each | <1% | 14,996 | $86K |
| A6250 | Skin sealants, protectants, moisturizers, ointments, any type, any size | <1% | 10,032 | $85K |
| A4406 | Ostomy skin barrier, pectin-based, paste, per ounce | <1% | 5,675 | $81K |
| T4543 | Adult sized disposable incontinence product, protective brief/diaper, above extra large, each | <1% | 543 | $75K |
| A4623 | Tracheostomy, inner cannula | <1% | 806 | $72K |
| A4927 | Gloves, non-sterile, per 100 | <1% | 9,465 | $58K |
| A4352 | Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each | <1% | 184 | $56K |
| E0601 | Continuous positive airway pressure (cpap) device | <1% | 1,016 | $54K |
| A4344 | Indwelling catheter, foley type, two-way, all silicone or polyurethane, each | <1% | 684 | $52K |
| A4456 | Adhesive remover, wipes, any type, each | <1% | 4,433 | $46K |
| A4414 | Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each | <1% | 679 | $46K |
| A4362 | Skin barrier; solid, 4 x 4 or equivalent; each | <1% | 1,120 | $43K |
| A4618 | Breathing circuits | <1% | 2,090 | $43K |
| A4425 | Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each | <1% | 840 | $43K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 3,381 | $42K |
| A7521 | Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each | <1% | 1,036 | $41K |
| A4310 | Insertion tray without drainage bag and without catheter (accessories only) | <1% | 854 | $40K |
| A5120 | Skin barrier, wipes or swabs, each | <1% | 7,006 | $37K |
| T4529 | Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each | <1% | 1,010 | $36K |
| A4369 | Ostomy skin barrier, liquid (spray, brush, etc.), per oz | <1% | 1,112 | $32K |
| A4357 | Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each | <1% | 2,577 | $27K |
| E0565 | Compressor, air power source for equipment which is not self-contained or cylinder driven | <1% | 893 | $26K |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | <1% | 1,235 | $25K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 13,293 | $23K |
| A4402 | Lubricant, per ounce | <1% | 5,558 | $23K |
| 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% | 124 | $21K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 1,819 | $17K |
| A4371 | Ostomy skin barrier, powder, per oz | <1% | 4,376 | $16K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | <1% | 208 | $12K |
| E0570 | Nebulizer, with compressor | <1% | 618 | $12K |
| A7525 | Tracheostomy mask, each | <1% | 2,573 | $12K |
| A4481 | Tracheostoma filter, any type, any size, each | <1% | 1,243 | $11K |
| A4247 | Betadine or iodine swabs/wipes, per box | <1% | 1,004 | $11K |
| A4349 | Male external catheter, with or without adhesive, disposable, each | <1% | 366 | $11K |
| A5062 | Ostomy pouch, drainable; without barrier attached (1 piece), each | <1% | 176 | $11K |
| A4358 | Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each | <1% | 1,131 | $11K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 2,476 | $10K |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 7,853 | $10K |
| A4322 | Irrigation syringe, bulb or piston, each | <1% | 1,257 | $9K |
| A4338 | Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each | <1% | 218 | $9K |
| A4424 | Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each | <1% | 138 | $8K |
| A6212 | Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing | <1% | 54 | $8K |
| A6257 | Transparent film, sterile, 16 sq. in. or less, each dressing | <1% | 1,056 | $7K |
| E0443 | Portable oxygen contents, gaseous, 1 month's supply = 1 unit | <1% | 464 | $6K |
| E0562 | Humidifier, heated, used with positive airway pressure device | <1% | 452 | $5K |
| A4452 | Tape, waterproof, per 18 square inches | <1% | 1,586 | $5K |
| A4259 | Lancets, per box of 100 | <1% | 1,106 | $5K |
| A7012 | Water collection device, used with large volume nebulizer | <1% | 1,091 | $5K |
| A7037 | Tubing used with positive airway pressure device | <1% | 453 | $4K |
| A6260 | Wound cleansers, any type, any size | <1% | 85 | $3K |
| A5063 | Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each | <1% | 56 | $3K |
| A4450 | Tape, non-waterproof, per 18 square inches | <1% | 851 | $2K |
| L8501 | Tracheostomy speaking valve | <1% | 28 | $2K |
| A4245 | Alcohol wipes, per box | <1% | 981 | $2K |
| A4455 | Adhesive remover or solvent (for tape, cement or other adhesive), per ounce | <1% | 432 | $2K |
| A7035 | Headgear used with positive airway pressure device | <1% | 66 | $1K |
| A4213 | Syringe, sterile, 20 cc or greater, each | <1% | 272 | $872.72 |
| A4332 | Lubricant, individual sterile packet, each | <1% | 166 | $731.26 |
| A7039 | Filter, non disposable, used with positive airway pressure device | <1% | 239 | $618.51 |
| A4394 | Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce | <1% | 167 | $376.47 |
| A9270 | Non-covered item or service | <1% | 4,451 | $232.74 |
| A6453 | Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard | <1% | 172 | $137.84 |
| A7013 | Filter, disposable, used with aerosol compressor or ultrasonic generator | <1% | 45 | $45.43 |
| A7509 | Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each | <1% | 107 | $26.46 |
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 officialBUCKHALTER, MATTHEW (CFO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.