Medicaid Provider Spending

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

VERUS HEALTHCARE, LLC

NPI: 1245221092 · BRENTWOOD, TN 37027 · Prosthetic/Orthotic Supplier · NPI assigned 11/01/2005

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

Authorized official RUSSALESI, WENDY controls 20+ related entities in our dataset. Read more

$7.55M
Total Medicaid Paid
791,724
Total Claims
618,011
Beneficiaries
51
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSALESI, WENDY (CCO)
Parent OrganizationVERUS HEALTHCARE, INC
NPI Enumeration Date11/01/2005

Related Entities

Other providers sharing the same authorized official: RUSSALESI, WENDY

ProviderCityStateTotal Paid
MED STAR SURGICAL & BREATHING EQUIPMENT INC. BRONX NY $138.92M
ADAPTHEALTH PATIENT CARE SOLUTIONS LLC BEAVER PA $93.56M
LIFEHME, INC. COLUMBIA SC $45.59M
OCEAN HOME HEALTH SUPPLY, LLC LAKEWOOD NJ $28.09M
ROCKY MOUNTAIN MEDICAL EQUIPMENT, INC. LAKEWOOD CO $26.94M
PAL-MED, LLC COLUMBIA SC $26.18M
FLETCHER'S MEDICAL SUPPLIES, INC. JACKSONVILLE FL $17.46M
ROBERTS HOME MEDICAL LLC GERMANTOWN MD $17.42M
COMMUNITY SURGICAL SUPPLY OF TOMS RIVER LLC TOMS RIVER NJ $16.94M
FIRST CHOICE HOME MEDICAL EQUIPMENT, LLC NEW CASTLE DE $16.92M
CAPE MEDICAL SUPPLY LLC SANDWICH MA $15.74M
ROCKY MOUNTAIN MEDICAL EQUIPMENT LLC COLORADO SPRINGS CO $15.44M
ROBERTS HOME MEDICAL LLC NORTH CHESTERFIELD VA $13.12M
TRICOUNTY MEDICAL EQUIPMENT AND SUPPLY, LLC PHILADELPHIA PA $13.09M
HEALTH COMPLEX MEDICAL LLC WATERBURY CT $13.03M
KEENE MEDICAL PRODUCTS, LLC ENFIELD NH $10.37M
RESPIRATORY HOME CARE OF BRISTOL, LLC CHATTANOOGA TN $10.11M
WECARE MEDICAL, LLC ASHLAND KY $9.90M
AIRWAY OXYGEN INC WYOMING MI $8.28M
AMERICAN ANCILLARIES, INC. LAS VEGAS NV $8.00M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 149,634 $1.07M
2019 160,659 $1.17M
2020 135,814 $1.34M
2021 108,295 $1.52M
2022 90,564 $892K
2023 87,820 $932K
2024 58,938 $622K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A7030 Full face mask used with positive airway pressure device, each 73,775 57,565 $1.39M
A7031 Face mask interface, replacement for full face mask, each 84,035 64,821 $1.25M
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap 60,614 47,896 $744K
A7032 Cushion for use on nasal mask interface, replacement only, each 42,553 33,006 $714K
A4604 Tubing with integrated heating element for use with positive airway pressure device 78,132 61,719 $697K
A7038 Filter, disposable, used with positive airway pressure device 148,675 114,903 $440K
E0601 Continuous positive airway pressure (cpap) device 31,379 24,722 $381K
A7033 Pillow for use on nasal cannula type interface, replacement only, pair 24,728 19,382 $369K
A7035 Headgear used with positive airway pressure device 70,520 55,437 $363K
A7037 Tubing used with positive airway pressure device 52,339 41,005 $189K
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each 57,277 45,223 $187K
E0562 Humidifier, heated, used with positive airway pressure device 3,463 2,693 $124K
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 4,981 3,571 $112K
E0470 Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) 4,269 3,356 $81K
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf 949 833 $72K
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips 4,054 3,391 $66K
A7039 Filter, non disposable, used with positive airway pressure device 30,390 23,845 $58K
L3809 Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type 621 497 $46K
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf 1,286 964 $32K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 1,583 1,224 $31K
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 616 220 $28K
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf 1,085 809 $28K
L3670 Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf 478 404 $20K
L3660 Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf 1,699 1,415 $17K
E1392 Portable oxygen concentrator, rental 2,383 1,643 $15K
L3675 Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf 274 227 $14K
A7036 Chinstrap used with positive airway pressure device 4,159 3,284 $10K
E0143 Walker, folding, wheeled, adjustable or fixed height 263 216 $8K
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 1,128 812 $8K
L3260 Surgical boot/shoe, each 634 520 $7K
E0570 Nebulizer, with compressor 778 547 $5K
L4360 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 57 50 $5K
K0195 Elevating leg rests, pair (for use with capped rental wheelchair base) 464 365 $4K
K0001 Standard wheelchair 99 93 $3K
E0471 Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) 224 129 $3K
L3808 Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment 33 26 $3K
E0603 Breast pump, electric (ac and/or dc), any type 15 13 $2K
L0174 Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf 61 44 $2K
L3674 Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, includes fitting and adjustment 56 53 $2K
E0260 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress 377 257 $2K
B9002 Enteral nutrition infusion pump, any type 106 87 $2K
K0003 Lightweight wheelchair 394 203 $2K
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 56 29 $1K
E0163 Commode chair, mobile or stationary, with fixed arms 114 92 $1K
L3257 Orthopedic footwear, additional charge for split size 116 87 $811.43
L1820 Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 34 26 $763.96
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 100 75 $628.38
L1812 Knee orthosis, elastic with joints, prefabricated, off-the-shelf 14 13 $535.28
A4565 Slings 204 177 $475.36
B9998 Noc for enteral supplies 65 27 $260.31
L3211 Surgical boot, each, junior 15 15 $116.76