Medicaid Provider Spending

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

PIONEER MEDICAL SERVICES INC

NPI: 1285695304 · MAN, WV 25635 · Customized Equipment (DME) · NPI assigned 03/29/2006

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

Authorized official MENCHEN, ROBIN controls 20+ related entities in our dataset. Read more

$1.50M
Total Medicaid Paid
33,827
Total Claims
28,949
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMENCHEN, ROBIN (CHIEF EXECUTIVE OFFICER)
Parent OrganizationROTECH HEALTHCARE INC
NPI Enumeration Date03/29/2006

Related Entities

Other providers sharing the same authorized official: MENCHEN, ROBIN

ProviderCityStateTotal 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
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
ROTECH OXYGEN AND MEDICAL EQUIPMENT INC GAINESVILLE FL $1.03M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,788 $94K
2019 1,812 $104K
2020 4,418 $317K
2021 5,465 $274K
2022 6,488 $267K
2023 9,029 $252K
2024 4,827 $196K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 20,373 17,880 $1.29M
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 6,104 5,181 $69K
E0466 Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) 144 118 $59K
E0570 Nebulizer, with compressor 4,635 3,846 $50K
E0601 Continuous positive airway pressure (cpap) device 723 540 $14K
E0261 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress 189 166 $4K
K0001 Standard wheelchair 337 272 $4K
E0562 Humidifier, heated, used with positive airway pressure device 214 137 $4K
E0143 Walker, folding, wheeled, adjustable or fixed height 371 260 $3K
A7037 Tubing used with positive airway pressure device 147 121 $1K
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 249 189 $420.27
A7038 Filter, disposable, used with positive airway pressure device 136 105 $339.48
A7035 Headgear used with positive airway pressure device 31 25 $265.55
E0156 Seat attachment, walker 147 96 $232.88
A9279 Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified 27 13 $0.00