Medicaid Provider Spending

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

MEDCO RESPIRATORY INSTRUMENTS, INC.

NPI: 1093789901 · HOUSTON, TX 77095 · Parenteral & Enteral Nutrition Supplies (DME) · NPI assigned 02/15/2006

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

Authorized official BUCKHALTER, MATTHEW controls 20+ related entities in our dataset. Read more

$171.57M
Total Medicaid Paid
1,601,843
Total Claims
1,429,427
Beneficiaries
128
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBUCKHALTER, MATTHEW (CFO)
NPI Enumeration Date02/15/2006

Related Entities

Other providers sharing the same authorized official: BUCKHALTER, MATTHEW

ProviderCityStateTotal Paid
OPTION 1 NUTRITION SOLUTIONS LLC DENVER CO $168.53M
D & D SERVICES INC TULSA OK $119.26M
EPIC HEALTH SERVICES (PA), LLC BALA CYNWYD PA $104.43M
PEDIATRIC SERVICES OF AMERICA, LLC SHELTON CT $92.74M
OPTION 1 NUTRITION SOLUTIONS, LLC CHANDLER AZ $79.18M
PYRA MED HEALTH SERVICES, LLC SAN ANTONIO TX $67.65M
EPIC HEALTH SERVICES INC WORCESTER MA $50.06M
DEPENDABLE NURSES OF PHOENIX, LLC SCOTTSDALE AZ $49.43M
PEDIATRIC SERVICES OF AMERICA, LLC BROCKTON MA $47.84M
EPIC HEALTH SERVICES, INC. HOUSTON TX $41.90M
FIRST CHOICE CHILDRENS HOMECARE LP STAFFORD TX $37.61M
PEDIATRIC SERVICES OF AMERICA, LLC PITTSBURGH PA $34.86M
PEDIATRIC SERVICES OF AMERICA, LLC WINTER PARK FL $33.52M
PEDIATRIC SERVICES OF AMERICA, LLC RALEIGH NC $32.46M
OPTION 1 NORTHWEST ENTERAL LLC KENT WA $32.43M
CARE UNLIMITED INC. WEXFORD PA $32.43M
PEDIATRIC SERVICES OF AMERICA, LLC HARRISBURG PA $31.46M
PEDIATRIC SERVICES OF AMERICA, LLC MCALLEN TX $31.33M
PEDIATRIC SERVICES OF AMERICA, LLC READING PA $30.29M
FIRST CHOICE CHILDRENS HOMECARE LP AUSTIN TX $29.62M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 305,916 $32.80M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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 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 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 114,426 99,346 $22.52M
B9998 Noc for enteral supplies 137,518 111,420 $10.04M
T4534 Youth sized disposable incontinence product, protective underwear/pull-on, each 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 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 18,853 15,677 $5.98M
A4554 Disposable underpads, all sizes 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 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 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 18,044 15,550 $3.38M
T4530 Pediatric sized disposable incontinence product, brief/diaper, large size, each 39,736 36,265 $3.12M
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 7,529 6,096 $2.61M
T4532 Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each 19,775 17,978 $2.42M
E0465 Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) 3,038 2,834 $2.37M
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each 23,589 22,269 $2.29M
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 25,690 20,960 $2.25M
T4522 Adult sized disposable incontinence product, brief/diaper, medium, each 25,802 23,874 $2.25M
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each 17,465 16,607 $1.92M
B9002 Enteral nutrition infusion pump, any type 24,123 22,209 $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 10,513 8,913 $1.77M
A4606 Oxygen probe for use with oximeter device, replacement 13,174 10,895 $1.45M
T4523 Adult sized disposable incontinence product, brief/diaper, large, each 14,009 13,123 $1.35M
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 12,682 12,135 $1.31M
A4335 Incontinence supply; miscellaneous 230,214 217,843 $1.24M
T4528 Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each 8,902 8,467 $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 1,522 1,382 $1.11M
A4353 Intermittent urinary catheter, with insertion supplies 2,021 1,648 $1.03M
B4104 Additive for enteral formula (e.g., fiber) 9,039 8,073 $923K
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each 31,445 28,839 $897K
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each 6,615 5,890 $850K
E0466 Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) 1,026 984 $729K
A4624 Tracheal suction catheter, any type other than closed system, each 4,955 4,581 $687K
T4525 Adult sized disposable incontinence product, protective underwear/pull-on, small size, each 8,161 7,490 $648K
E0445 Oximeter device for measuring blood oxygen levels non-invasively 5,362 5,087 $647K
T4521 Adult sized disposable incontinence product, brief/diaper, small, each 7,278 6,518 $596K
T4524 Adult sized disposable incontinence product, brief/diaper, extra large, each 4,852 4,570 $575K
B4103 Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit 7,875 6,631 $508K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each 18,212 17,475 $487K
A7000 Canister, disposable, used with suction pump, each 15,670 14,593 $471K
A4629 Tracheostomy care kit for established tracheostomy 4,070 3,689 $371K
T4544 Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each 2,016 1,982 $347K
B4036 Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 2,372 1,933 $298K
T4533 Youth sized disposable incontinence product, brief/diaper, each 3,270 2,993 $277K
B4100 Food thickener, administered orally, per ounce 7,610 6,927 $277K
A7002 Tubing, used with suction pump, each 16,178 14,883 $273K
A4605 Tracheal suction catheter, closed system, each 1,985 1,833 $271K
A4385 Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each 2,846 2,525 $249K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 11,731 11,242 $223K
E0482 Cough stimulating device, alternating positive and negative airway pressure 886 843 $222K
A4217 Sterile water/saline, 500 ml 3,983 3,125 $203K
A5061 Ostomy pouch, drainable; with barrier attached, (1 piece), each 3,101 2,754 $197K
A6209 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 1,255 930 $179K
A7526 Tracheostomy tube collar/holder, each 5,069 4,505 $174K
E0776 Iv pole 17,985 17,018 $157K
T4531 Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each 1,552 1,341 $152K
E0600 Respiratory suction pump, home model, portable or stationary, electric 1,568 1,445 $141K
A4483 Moisture exchanger, disposable, for use with invasive mechanical ventilation 2,371 1,874 $118K
B4081 Nasogastric tubing with stylet 2,323 1,790 $108K
A7520 Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each 2,726 2,504 $104K
B4082 Nasogastric tubing without stylet 2,573 2,127 $103K
A6234 Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 1,651 1,515 $98K
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 4,774 3,809 $92K
A4409 Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each 1,118 995 $88K
A4628 Oral and/or oropharyngeal suction catheter, each 14,996 14,169 $86K
A6250 Skin sealants, protectants, moisturizers, ointments, any type, any size 10,032 9,622 $85K
A4406 Ostomy skin barrier, pectin-based, paste, per ounce 5,675 5,177 $81K
T4543 Adult sized disposable incontinence product, protective brief/diaper, above extra large, each 543 530 $75K
A4623 Tracheostomy, inner cannula 806 738 $72K
A4927 Gloves, non-sterile, per 100 9,465 8,227 $58K
A4352 Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each 184 157 $56K
E0601 Continuous positive airway pressure (cpap) device 1,016 974 $54K
A4344 Indwelling catheter, foley type, two-way, all silicone or polyurethane, each 684 542 $52K
A4456 Adhesive remover, wipes, any type, each 4,433 4,022 $46K
A4414 Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each 679 556 $46K
A4362 Skin barrier; solid, 4 x 4 or equivalent; each 1,120 1,008 $43K
A4618 Breathing circuits 2,090 1,957 $43K
A4425 Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each 840 750 $43K
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each 3,381 3,185 $42K
A7521 Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each 1,036 938 $41K
A4310 Insertion tray without drainage bag and without catheter (accessories only) 854 681 $40K
A5120 Skin barrier, wipes or swabs, each 7,006 5,954 $37K
T4529 Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each 1,010 732 $36K
A4369 Ostomy skin barrier, liquid (spray, brush, etc.), per oz 1,112 1,010 $32K
A4357 Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each 2,577 2,087 $27K
E0565 Compressor, air power source for equipment which is not self-contained or cylinder driven 893 842 $26K
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 1,235 1,138 $25K
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 13,293 12,639 $23K
A4402 Lubricant, per ounce 5,558 5,041 $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 124 119 $21K
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 1,819 1,663 $17K
A4371 Ostomy skin barrier, powder, per oz 4,376 4,024 $16K
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap 208 197 $12K
E0570 Nebulizer, with compressor 618 579 $12K
A7525 Tracheostomy mask, each 2,573 2,435 $12K
A4481 Tracheostoma filter, any type, any size, each 1,243 1,110 $11K
A4247 Betadine or iodine swabs/wipes, per box 1,004 760 $11K
A4349 Male external catheter, with or without adhesive, disposable, each 366 299 $11K
A5062 Ostomy pouch, drainable; without barrier attached (1 piece), each 176 165 $11K
A4358 Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each 1,131 939 $11K
A7038 Filter, disposable, used with positive airway pressure device 2,476 2,339 $10K
A7015 Aerosol mask, used with dme nebulizer 7,853 7,554 $10K
A4322 Irrigation syringe, bulb or piston, each 1,257 1,041 $9K
A4338 Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each 218 172 $9K
A4424 Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each 138 124 $8K
A6212 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing 54 50 $8K
A6257 Transparent film, sterile, 16 sq. in. or less, each dressing 1,056 917 $7K
E0443 Portable oxygen contents, gaseous, 1 month's supply = 1 unit 464 400 $6K
E0562 Humidifier, heated, used with positive airway pressure device 452 437 $5K
A4452 Tape, waterproof, per 18 square inches 1,586 1,484 $5K
A4259 Lancets, per box of 100 1,106 1,059 $5K
A7012 Water collection device, used with large volume nebulizer 1,091 1,020 $5K
A7037 Tubing used with positive airway pressure device 453 439 $4K
A6260 Wound cleansers, any type, any size 85 75 $3K
A5063 Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each 56 51 $3K
A4450 Tape, non-waterproof, per 18 square inches 851 744 $2K
L8501 Tracheostomy speaking valve 28 28 $2K
A4245 Alcohol wipes, per box 981 943 $2K
A4455 Adhesive remover or solvent (for tape, cement or other adhesive), per ounce 432 379 $2K
A7035 Headgear used with positive airway pressure device 66 57 $1K
A4213 Syringe, sterile, 20 cc or greater, each 272 268 $872.72
A4332 Lubricant, individual sterile packet, each 166 146 $731.26
A7039 Filter, non disposable, used with positive airway pressure device 239 231 $618.51
A4394 Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce 167 131 $376.47
A9270 Non-covered item or service 4,451 1,858 $232.74
A6453 Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard 172 152 $137.84
A7013 Filter, disposable, used with aerosol compressor or ultrasonic generator 45 45 $45.43
A7509 Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each 107 101 $26.46