Supplier
Alliance Medical Supply, LLC
Alliance Medical Supply, LLC was paid $34.76M by Medicaid between Apr 2020 and Dec 2024, across 94 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 — 17% of everything it billed.
33Billing provider infoALLIANCE MEDICAL SUPPLY, LLC
SAN ANTONIO, TX 78216
SAN ANTONIO, TX 78216
33aNPI1306865340assigned 07/19/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$34.76M
24GClaims302,169
24DCodes billed94
24AFirst – last monthApr 2020 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Texas
Rank by total paid#3 of 566
Median peer was paid$142K
This provider vs. median245×
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 ZEHNDER, CAMEO controls 11+ 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 | |
|---|---|---|---|
| 2020 | 14,333 | $1.45M | |
| 2021 | 65,340 | $7.31M | |
| 2022 | 74,893 | $8.25M | |
| 2023 | 76,268 | $8.92M | |
| 2024incomplete | 71,335 | $8.83M |
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 | 17% | 9,327 | 7,225 | $5.80M |
| B9998 | Noc for enteral supplies | 12% | 25,776 | 15,793 | $4.32M |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 11% | 13,509 | 12,754 | $3.66M |
| E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | 5.8% | 2,620 | 2,563 | $2.03M |
| E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | 5.6% | 2,512 | 2,478 | $1.94M |
| 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 | 5.0% | 6,372 | 6,006 | $1.73M |
| 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 | 4.2% | 996 | 876 | $1.46M |
| 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 | 3.3% | 3,336 | 2,934 | $1.14M |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 3.2% | 9,607 | 9,470 | $1.10M |
| 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 | 3.0% | 3,082 | 2,831 | $1.04M |
| E1399 | Durable medical equipment, miscellaneous | 2.9% | 2,058 | 2,018 | $1.00M |
| E0482 | Cough stimulating device, alternating positive and negative airway pressure | 2.2% | 2,884 | 2,854 | $759K |
82 more codes
| A4606 | Oxygen probe for use with oximeter device, replacement | 1.9% | 6,312 | $650K |
| E0445 | Oximeter device for measuring blood oxygen levels non-invasively | 1.6% | 3,114 | $567K |
| B9002 | Enteral nutrition infusion pump, any type | 1.3% | 3,777 | $443K |
| A4554 | Disposable underpads, all sizes | 1.2% | 13,542 | $415K |
| T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | 1.1% | 3,397 | $393K |
| A6209 | Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 1.1% | 2,185 | $377K |
| A4624 | Tracheal suction catheter, any type other than closed system, each | <1% | 2,001 | $315K |
| 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 | <1% | 1,117 | $301K |
| T4530 | Pediatric sized disposable incontinence product, brief/diaper, large size, each | <1% | 2,866 | $279K |
| B4104 | Additive for enteral formula (e.g., fiber) | <1% | 2,171 | $265K |
| A7000 | Canister, disposable, used with suction pump, each | <1% | 7,364 | $246K |
| 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 | <1% | 715 | $231K |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | <1% | 2,083 | $222K |
| 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% | 317 | $216K |
| A4629 | Tracheostomy care kit for established tracheostomy | <1% | 2,074 | $198K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 8,931 | $180K |
| A4605 | Tracheal suction catheter, closed system, each | <1% | 1,115 | $173K |
| B4103 | Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit | <1% | 1,243 | $164K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 1,261 | $162K |
| A6234 | Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 1,801 | $160K |
| A4322 | Irrigation syringe, bulb or piston, each | <1% | 13,244 | $159K |
| A4353 | Intermittent urinary catheter, with insertion supplies | <1% | 249 | $157K |
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | <1% | 24,321 | $155K |
| A9900 | Miscellaneous dme supply, accessory, and/or service component of another hcpcs code | <1% | 2,991 | $145K |
| T4521 | Adult sized disposable incontinence product, brief/diaper, small, each | <1% | 1,439 | $142K |
| A7520 | Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each | <1% | 2,010 | $134K |
| E0570 | Nebulizer, with compressor | <1% | 1,242 | $130K |
| A7002 | Tubing, used with suction pump, each | <1% | 7,211 | $126K |
| T4532 | Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each | <1% | 849 | $125K |
| A4216 | Sterile water, saline and/or dextrose, diluent/flush, 10 ml | <1% | 3,804 | $118K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | <1% | 1,052 | $115K |
| 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% | 560 | $106K |
| 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) | <1% | 302 | $105K |
| A4335 | Incontinence supply; miscellaneous | <1% | 16,159 | $86K |
| A7526 | Tracheostomy tube collar/holder, each | <1% | 2,629 | $84K |
| A6457 | Tubular dressing with or without elastic, any width, per linear yard | <1% | 3,409 | $81K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | <1% | 672 | $78K |
| A5200 | Percutaneous catheter/tube anchoring device, adhesive skin attachment | <1% | 2,276 | $74K |
| B4100 | Food thickener, administered orally, per ounce | <1% | 3,197 | $72K |
| A6257 | Transparent film, sterile, 16 sq. in. or less, each dressing | <1% | 1,705 | $51K |
| E0601 | Continuous positive airway pressure (cpap) device | <1% | 477 | $46K |
| A4628 | Oral and/or oropharyngeal suction catheter, each | <1% | 6,695 | $40K |
| A6216 | Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 7,958 | $36K |
| B4036 | Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 430 | $35K |
| T4529 | Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each | <1% | 597 | $34K |
| A7521 | Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each | <1% | 605 | $33K |
| T4525 | Adult sized disposable incontinence product, protective underwear/pull-on, small size, each | <1% | 317 | $33K |
| E0776 | Iv pole | <1% | 3,552 | $33K |
| A6250 | Skin sealants, protectants, moisturizers, ointments, any type, any size | <1% | 3,514 | $33K |
| A4402 | Lubricant, per ounce | <1% | 5,989 | $29K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 8,320 | $28K |
| A7030 | Full face mask used with positive airway pressure device, each | <1% | 293 | $28K |
| E0562 | Humidifier, heated, used with positive airway pressure device | <1% | 1,116 | $24K |
| A4927 | Gloves, non-sterile, per 100 | <1% | 2,841 | $20K |
| A6212 | Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing | <1% | 89 | $19K |
| A4452 | Tape, waterproof, per 18 square inches | <1% | 2,576 | $17K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 1,662 | $16K |
| A4450 | Tape, non-waterproof, per 18 square inches | <1% | 7,438 | $11K |
| A7037 | Tubing used with positive airway pressure device | <1% | 544 | $10K |
| A4217 | Sterile water/saline, 500 ml | <1% | 495 | $8K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | <1% | 157 | $5K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | <1% | 37 | $5K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 995 | $4K |
| A7525 | Tracheostomy mask, each | <1% | 1,090 | $4K |
| A4385 | Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each | <1% | 28 | $4K |
| A5120 | Skin barrier, wipes or swabs, each | <1% | 398 | $4K |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 3,095 | $4K |
| A4670 | Automatic blood pressure monitor | <1% | 72 | $4K |
| E0600 | Respiratory suction pump, home model, portable or stationary, electric | <1% | 12 | $3K |
| B4082 | Nasogastric tubing without stylet | <1% | 55 | $3K |
| S8101 | Holding chamber or spacer for use with an inhaler or nebulizer; with mask | <1% | 121 | $3K |
| E0565 | Compressor, air power source for equipment which is not self-contained or cylinder driven | <1% | 81 | $3K |
| A4371 | Ostomy skin barrier, powder, per oz | <1% | 498 | $2K |
| A4627 | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler | <1% | 42 | $1K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 69 | $767.20 |
| A7010 | Corrugated tubing, disposable, used with large volume nebulizer, 100 feet | <1% | 13 | $570.40 |
| A4245 | Alcohol wipes, per box | <1% | 123 | $521.60 |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | <1% | 27 | $498.70 |
| A7013 | Filter, disposable, used with aerosol compressor or ultrasonic generator | <1% | 652 | $418.13 |
| A4244 | Alcohol or peroxide, per pint | <1% | 194 | $142.65 |
| A4657 | Syringe, with or without needle, each | <1% | 103 | $109.44 |
| A7007 | Large volume nebulizer, disposable, unfilled, used with aerosol compressor | <1% | 13 | $84.09 |
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 officialZEHNDER, CAMEO (CHIEF ADMINISTRATIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Home Respiratory Services LLC | Roseville, MN | $197.48M |
| Apple Homecare Medical Supply LLC | Richardson, TX | $123.28M |
| Urs Sub I, LLC | Waco, TX | $75.72M |
| Advanced Medical Equipment, LLC | Miamisburg, OH | $58.36M |
| TCG Interests, LLC | Houston, TX | $52.36M |
| RSVP Equipment of Greater Cincinnati, LLC | Covington, KY | $24.45M |
| Medic Home Health Care, LLC | Mayfield Village, OH | $17.00M |
| Pediatric Home Respiratory Services LLC | Roseville, MN | $14.21M |
| Cherub Medical Supply, LLC | Lenexa, KS | $6.26M |
| Mobile Medical Maintenance, LLC | Fort Wayne, IN | $4.28M |
| Pulmonary Partners LLC | Covington, KY | $431K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.