Supplier
Health System Services, LTD.
Health System Services, LTD. was paid $6.79M by Medicaid between Jan 2018 and Dec 2024, across 106 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 22% of everything it billed.
33Billing provider infoHEALTH SYSTEM SERVICES, LTD.
NIAGARA FALLS, NY 14304
NIAGARA FALLS, NY 14304
33aNPI1366440968assigned 07/08/2005
33bProvider typeNursing Facility Supplies (DME)
28Total paid$6.79M
24GClaims250,497
24DCodes billed106
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nursing Facility Supplies (DME) providers in New York
Rank by total paid#1 of 5
Median peer was paid$114K
This provider vs. median60×
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.
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 | |
|---|---|---|---|
| 2018 | 13,478 | $268K | |
| 2019 | 27,638 | $616K | |
| 2020 | 40,421 | $845K | |
| 2021 | 38,449 | $946K | |
| 2022 | 41,092 | $1.15M | |
| 2023 | 44,779 | $1.54M | |
| 2024incomplete | 44,640 | $1.42M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 22% | 20,722 | 20,477 | $1.51M |
| E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | 12% | 1,959 | 1,919 | $837K |
| E0601 | Continuous positive airway pressure (cpap) device | 9.3% | 9,068 | 8,842 | $629K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 5.9% | 25,197 | 10,956 | $398K |
| 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 | 4.3% | 2,307 | 1,149 | $290K |
| 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 | 3.3% | 14,085 | 6,608 | $227K |
| A7030 | Full face mask used with positive airway pressure device, each | 3.1% | 3,107 | 3,081 | $212K |
| 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) | 3.0% | 1,437 | 1,407 | $204K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 2.9% | 13,422 | 13,271 | $200K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 2.9% | 5,343 | 5,189 | $194K |
| E0570 | Nebulizer, with compressor | 2.4% | 5,318 | 5,286 | $162K |
| 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 | 2.1% | 5,697 | 2,333 | $146K |
94 more codes
| 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 | 2.0% | 8,502 | $135K |
| A7031 | Face mask interface, replacement for full face mask, each | 1.7% | 3,445 | $114K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | 1.6% | 2,768 | $112K |
| E2402 | Negative pressure wound therapy electrical pump, stationary or portable | 1.4% | 180 | $94K |
| E0482 | Cough stimulating device, alternating positive and negative airway pressure | 1.2% | 534 | $81K |
| E0483 | High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each | <1% | 228 | $68K |
| E0261 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress | <1% | 1,600 | $67K |
| K0001 | Standard wheelchair | <1% | 3,595 | $66K |
| E0445 | Oximeter device for measuring blood oxygen levels non-invasively | <1% | 578 | $63K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | <1% | 2,049 | $63K |
| A7035 | Headgear used with positive airway pressure device | <1% | 4,692 | $57K |
| E0630 | Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) | <1% | 1,480 | $55K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | <1% | 3,071 | $51K |
| B9002 | Enteral nutrition infusion pump, any type | <1% | 3,764 | $49K |
| A4409 | Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each | <1% | 2,870 | $47K |
| A4623 | Tracheostomy, inner cannula | <1% | 3,258 | $46K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 5,031 | $45K |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | <1% | 1,810 | $45K |
| E0163 | Commode chair, mobile or stationary, with fixed arms | <1% | 826 | $41K |
| A7037 | Tubing used with positive airway pressure device | <1% | 3,883 | $36K |
| A4425 | Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each | <1% | 2,986 | $36K |
| A4314 | Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) | <1% | 10,578 | $30K |
| A4357 | Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each | <1% | 13,480 | $26K |
| A4407 | Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each | <1% | 1,215 | $25K |
| A4629 | Tracheostomy care kit for established tracheostomy | <1% | 627 | $23K |
| A4414 | Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each | <1% | 1,498 | $19K |
| A4385 | Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each | <1% | 952 | $16K |
| A7526 | Tracheostomy tube collar/holder, each | <1% | 2,490 | $15K |
| A7000 | Canister, disposable, used with suction pump, each | <1% | 1,072 | $15K |
| E0776 | Iv pole | <1% | 9,937 | $13K |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | <1% | 1,236 | $12K |
| B4036 | Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 873 | $12K |
| A5063 | Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each | <1% | 1,743 | $11K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 4,883 | $11K |
| E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | <1% | 25 | $10K |
| A6550 | Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories | <1% | 75 | $10K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | <1% | 1,237 | $9K |
| E1392 | Portable oxygen concentrator, rental | <1% | 310 | $9K |
| E0240 | Bath/shower chair, with or without wheels, any size | <1% | 281 | $9K |
| E0156 | Seat attachment, walker | <1% | 854 | $8K |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | <1% | 202 | $7K |
| A4334 | Urinary catheter anchoring device, leg strap, each | <1% | 11,979 | $7K |
| 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 | <1% | 1,505 | $7K |
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | <1% | 323 | $7K |
| A4349 | Male external catheter, with or without adhesive, disposable, each | <1% | 539 | $6K |
| E0600 | Respiratory suction pump, home model, portable or stationary, electric | <1% | 128 | $6K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 1,170 | $6K |
| S8101 | Holding chamber or spacer for use with an inhaler or nebulizer; with mask | <1% | 368 | $6K |
| A7520 | Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each | <1% | 296 | $5K |
| A4358 | Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each | <1% | 3,824 | $5K |
| A7039 | Filter, non disposable, used with positive airway pressure device | <1% | 2,112 | $5K |
| K0002 | Standard hemi (low seat) wheelchair | <1% | 229 | $5K |
| A7521 | Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each | <1% | 634 | $4K |
| A5120 | Skin barrier, wipes or swabs, each | <1% | 1,556 | $4K |
| A7033 | Pillow for use on nasal cannula type interface, replacement only, pair | <1% | 255 | $4K |
| A4406 | Ostomy skin barrier, pectin-based, paste, per ounce | <1% | 1,361 | $3K |
| A4315 | Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone | <1% | 993 | $3K |
| A4419 | Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each | <1% | 262 | $3K |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | <1% | 33 | $3K |
| E0443 | Portable oxygen contents, gaseous, 1 month's supply = 1 unit | <1% | 129 | $3K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | <1% | 31 | $3K |
| E0271 | Mattress, innerspring | <1% | 140 | $2K |
| A7002 | Tubing, used with suction pump, each | <1% | 444 | $2K |
| A4554 | Disposable underpads, all sizes | <1% | 44 | $2K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 249 | $2K |
| K0800 | Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds | <1% | 13 | $2K |
| L1830 | Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf | <1% | 31 | $2K |
| 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% | 13 | $1K |
| E0149 | Walker, heavy duty, wheeled, rigid or folding, any type | <1% | 24 | $1K |
| A6196 | Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing | <1% | 246 | $1K |
| A4394 | Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce | <1% | 426 | $1K |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | <1% | 12 | $986.88 |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | <1% | 30 | $970.48 |
| B4087 | Gastrostomy/jejunostomy tube, standard, any material, any type, each | <1% | 484 | $936.89 |
| E1399 | Durable medical equipment, miscellaneous | <1% | 15 | $854.82 |
| A4351 | Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each | <1% | 26 | $811.48 |
| A4628 | Oral and/or oropharyngeal suction catheter, each | <1% | 108 | $785.73 |
| A7014 | Filter, nondisposable, used with aerosol compressor or ultrasonic generator | <1% | 486 | $638.11 |
| L8501 | Tracheostomy speaking valve | <1% | 92 | $616.16 |
| A7045 | Exhalation port with or without swivel used with accessories for positive airway devices, replacement only | <1% | 134 | $548.05 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 170 | $491.52 |
| E0181 | Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty | <1% | 74 | $442.81 |
| 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 | <1% | 119 | $399.63 |
| A6212 | Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing | <1% | 36 | $288.17 |
| E1038 | Transport chair, adult size, patient weight capacity up to and including 300 pounds | <1% | 54 | $278.54 |
| E0185 | Gel or gel-like pressure pad for mattress, standard mattress length and width | <1% | 12 | $240.94 |
| E0565 | Compressor, air power source for equipment which is not self-contained or cylinder driven | <1% | 13 | $232.60 |
| A4371 | Ostomy skin barrier, powder, per oz | <1% | 442 | $230.51 |
| A4340 | Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each | <1% | 115 | $212.02 |
| E0100 | Cane, includes canes of all materials, adjustable or fixed, with tip | <1% | 25 | $173.15 |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | <1% | 74 | $136.19 |
| A4367 | Ostomy belt, each | <1% | 107 | $130.95 |
| A4354 | Insertion tray with drainage bag but without catheter | <1% | 120 | $59.74 |
| A4456 | Adhesive remover, wipes, any type, each | <1% | 12 | $32.34 |
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 officialMINICUCCI, ROBERT (PRESIDENT)