Professional Breathing Associates INC
Professional Breathing Associates INC was paid $669K by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is A6196, Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing — 19% of everything it billed.
MARSHFIELD, WI 54449
Next to other Customized Equipment (DME) providers in Wisconsin
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 | 1,269 | $13K | |
| 2019 | 1,133 | $16K | |
| 2020 | 3,797 | $62K | |
| 2021 | 7,785 | $227K | |
| 2022 | 7,689 | $186K | |
| 2023 | 6,628 | $115K | |
| 2024incomplete | 2,999 | $50K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A6196 | Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing | 19% | 1,880 | 1,393 | $127K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 15% | 5,493 | 4,224 | $98K |
| A6021 | Collagen dressing, sterile, size 16 sq. in. or less, each | 14% | 840 | 669 | $93K |
| A6212 | Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing | 10% | 1,761 | 1,342 | $68K |
| 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 | 8.9% | 381 | 274 | $59K |
| 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 | 7.1% | 1,914 | 1,431 | $47K |
| A6209 | Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 5.3% | 1,079 | 820 | $35K |
| A6266 | Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard | 3.0% | 455 | 358 | $20K |
| A4452 | Tape, waterproof, per 18 square inches | 2.9% | 2,291 | 1,756 | $19K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 2.3% | 3,002 | 2,423 | $15K |
| A6222 | Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 2.2% | 863 | 643 | $15K |
| A7030 | Full face mask used with positive airway pressure device, each | 2.0% | 350 | 269 | $14K |
20 more codes
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 1.8% | 2,867 | $12K |
| A6251 | Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 1.1% | 504 | $8K |
| E0601 | Continuous positive airway pressure (cpap) device | <1% | 621 | $6K |
| A7037 | Tubing used with positive airway pressure device | <1% | 764 | $5K |
| A6216 | Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 897 | $5K |
| A4450 | Tape, non-waterproof, per 18 square inches | <1% | 1,500 | $4K |
| A6446 | Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard | <1% | 1,411 | $4K |
| E0570 | Nebulizer, with compressor | <1% | 570 | $3K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 944 | $2K |
| A6253 | Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing | <1% | 60 | $2K |
| E0562 | Humidifier, heated, used with positive airway pressure device | <1% | 212 | $2K |
| A6443 | Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard | <1% | 140 | $2K |
| A7035 | Headgear used with positive airway pressure device | <1% | 177 | $1K |
| A6219 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing | <1% | 138 | $902.38 |
| A7031 | Face mask interface, replacement for full face mask, each | <1% | 32 | $572.74 |
| A7039 | Filter, non disposable, used with positive airway pressure device | <1% | 50 | $109.20 |
| A5120 | Skin barrier, wipes or swabs, each | <1% | 39 | $55.00 |
| A6261 | Wound filler, gel/paste, per fluid ounce, not otherwise specified | <1% | 17 | $23.24 |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 18 | $22.10 |
| A9279 | Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified | 0% | 30 | $0.00 |
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 |
|---|---|---|
| Better Living Now INC | Hauppauge, NY | $59.51M |
| Lovejoy Medical INC | Hazard, KY | $4.60M |
| Oxygen Plus INC | Colorado Springs, CO | $4.26M |
| MMS Norfolk, INC. | Virginia Beach, VA | $3.53M |
| Distinct Home Health Care INC | Bossier City, LA | $3.49M |
| Acadia Home Care | Hampden, ME | $2.98M |
| Acadia Home Care | Presque Isle, ME | $2.70M |
| Allied Medical Supply INC | Flagstaff, AZ | $2.35M |
| Home Medical Systems INC | Fayetteville, NC | $2.19M |
| Professional Breathing Associates INC | West Branch, MI | $1.98M |
| Rotech Oxygen and Medical Equipment INC | Pensacola, FL | $1.70M |
| Home Medical Systems INC | High Point, NC | $1.55M |
| G & G Medical INC | Grand Junction, CO | $1.34M |
| Don Paul Respiratory Services INC | Windsor, CO | $1.32M |
| Home Care Oxygen Service INC | Duluth, MN | $1.30M |
| Distinct Home Health Care INC | Natchitoches, LA | $1.28M |
| G & G Medical INC | Durango, CO | $1.21M |
| Home Medical Systems INC | Whiteville, NC | $1.18M |
| Medco Professional Services Corp | Trinidad, CO | $1.08M |
| Don Paul Respiratory Services INC | Fort Morgan, CO | $1.07M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.