Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Rocky Mountain Medical Equipment, INC.

Rocky Mountain Medical Equipment, INC. was paid $26.94M by Medicaid between Jan 2018 and Dec 2024, across 83 billing codes. Its largest line is 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 — 9.7% of everything it billed.

33Billing provider infoROCKY MOUNTAIN MEDICAL EQUIPMENT, INC.
LAKEWOOD, CO 80227
33aNPI1376530220assigned 10/04/2005
28Total paid$26.94M
24GClaims269,304
24DCodes billed83
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Colorado

Rank by total paid#7 of 645
Median peer was paid$21K
This provider vs. median1,308×

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 RUSSALESI, WENDY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
201824,226$3.94M
201932,698$3.83M
202051,705$4.30M
202142,827$3.56M
202239,474$3.64M
202344,261$4.16M
2024incomplete34,113$3.51M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 9.7% 7,569 6,815 $2.62M
A9276 Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply 9.7% 6,285 4,964 $2.61M
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 8.9% 10,173 9,484 $2.40M
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 8.5% 3,366 2,857 $2.29M
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 4.8% 3,744 3,360 $1.30M
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 4.2% 5,546 4,426 $1.14M
A4554 Disposable underpads, all sizes 3.4% 25,578 21,653 $924K
T4534 Youth sized disposable incontinence product, protective underwear/pull-on, each 3.3% 5,690 5,501 $877K
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each 3.0% 5,869 5,105 $820K
E0601 Continuous positive airway pressure (cpap) device 3.0% 10,239 6,801 $817K
A9277 Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system 2.9% 1,263 1,017 $772K
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 2.6% 7,176 5,707 $690K
71 more codes
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each 2.5% 6,163 $668K
B9998 Noc for enteral supplies 2.4% 10,192 $652K
A4927 Gloves, non-sterile, per 100 2.0% 27,715 $537K
A7030 Full face mask used with positive airway pressure device, each 2.0% 4,657 $527K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each 2.0% 5,483 $527K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each 1.8% 11,429 $478K
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 1.7% 3,148 $449K
E0562 Humidifier, heated, used with positive airway pressure device 1.5% 2,103 $397K
T4522 Adult sized disposable incontinence product, brief/diaper, medium, each 1.5% 3,668 $396K
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 1.4% 3,405 $370K
T4528 Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each 1.3% 3,374 $354K
T4523 Adult sized disposable incontinence product, brief/diaper, large, each 1.3% 2,586 $340K
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 1.2% 1,367 $322K
A6250 Skin sealants, protectants, moisturizers, ointments, any type, any size 1.1% 27,793 $298K
A7031 Face mask interface, replacement for full face mask, each <1% 4,728 $269K
K0108 Wheelchair component or accessory, not otherwise specified <1% 778 $246K
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 <1% 313 $220K
K0739 Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes <1% 1,735 $213K
B9002 Enteral nutrition infusion pump, any type <1% 819 $204K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape <1% 1,335 $180K
E0143 Walker, folding, wheeled, adjustable or fixed height <1% 3,135 $153K
T4521 Adult sized disposable incontinence product, brief/diaper, small, each <1% 1,276 $144K
T4525 Adult sized disposable incontinence product, protective underwear/pull-on, small size, each <1% 1,728 $144K
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap <1% 2,490 $144K
T4524 Adult sized disposable incontinence product, brief/diaper, extra large, each <1% 923 $123K
A9278 Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system <1% 250 $122K
A7035 Headgear used with positive airway pressure device <1% 4,685 $116K
A4604 Tubing with integrated heating element for use with positive airway pressure device <1% 3,059 $114K
A7037 Tubing used with positive airway pressure device <1% 3,884 $105K
T4533 Youth sized disposable incontinence product, brief/diaper, each <1% 996 $100K
A7038 Filter, disposable, used with positive airway pressure device <1% 7,763 $87K
T4530 Pediatric sized disposable incontinence product, brief/diaper, large size, each <1% 1,020 $81K
B4100 Food thickener, administered orally, per ounce <1% 885 $71K
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips <1% 1,515 $71K
A7032 Cushion for use on nasal mask interface, replacement only, each <1% 1,695 $56K
A9286 Hygienic item or device, disposable or non-disposable, any type, each <1% 2,494 $51K
E1399 Durable medical equipment, miscellaneous <1% 38 $48K
E1028 Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other <1% 225 $46K
T4544 Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each <1% 222 $36K
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate <1% 5,038 $25K
A9900 Miscellaneous dme supply, accessory, and/or service component of another hcpcs code <1% 275 $23K
B4104 Additive for enteral formula (e.g., fiber) <1% 335 $22K
K0001 Standard wheelchair <1% 650 $21K
T4529 Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each <1% 266 $21K
T4531 Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each <1% 169 $14K
A7033 Pillow for use on nasal cannula type interface, replacement only, pair <1% 378 $14K
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) <1% 98 $13K
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf <1% 58 $11K
B4102 Enteral formula, for adults, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit <1% 610 $11K
K0002 Standard hemi (low seat) wheelchair <1% 237 $10K
A9901 Dme delivery, set up, and/or dispensing service component of another hcpcs code <1% 581 $8K
E0973 Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each <1% 49 $5K
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each <1% 34 $4K
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% 2,306 $4K
E0260 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress <1% 59 $3K
L3809 Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type <1% 15 $2K
E0971 Manual wheelchair accessory, anti-tipping device, each <1% 127 $2K
E0441 Stationary oxygen contents, gaseous, 1 month's supply = 1 unit <1% 40 $2K
A7039 Filter, non disposable, used with positive airway pressure device <1% 197 $2K
E0978 Wheelchair accessory, positioning belt/safety belt/pelvic strap, each <1% 81 $2K
E0156 Seat attachment, walker <1% 150 $2K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf <1% 56 $2K
E0955 Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each <1% 26 $1K
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each <1% 2,934 $831.73
E0570 Nebulizer, with compressor <1% 55 $589.58
K0195 Elevating leg rests, pair (for use with capped rental wheelchair base) <1% 86 $456.17
E0951 Heel loop/holder, any type, with or without ankle strap, each <1% 82 $358.34
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing <1% 248 $344.38
E0730 Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation <1% 15 $49.29
E1392 Portable oxygen concentrator, rental <1% 429 $7.67
A4520 Incontinence garment, any type, (e.g., brief, diaper), each 0% 48 $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.

From NPPES

Who's on the registration

Authorized officialRUSSALESI, WENDY (CCO)
Parent organizationAEROCARE HOLDINGS, INC.
Same official

Other billing entities under RUSSALESI, WENDY

Full network →
ProviderLocationPaid
Med Star Surgical & Breathing Equipment INC.Bronx, NY$138.92M
Adapthealth Patient Care Solutions LLCBeaver, PA$93.56M
Lifehme, INC.Columbia, SC$45.59M
Ocean Home Health Supply, LLCLakewood, NJ$28.09M
Pal-Med, LLCColumbia, SC$26.18M
Fletcher's Medical Supplies, INC.Jacksonville, FL$17.46M
Roberts Home Medical LLCGermantown, MD$17.42M
Community Surgical Supply of Toms River LLCToms River, NJ$16.94M
First Choice Home Medical Equipment, LLCNew Castle, DE$16.92M
Cape Medical Supply LLCSandwich, MA$15.74M
Rocky Mountain Medical Equipment LLCColorado Springs, CO$15.44M
Roberts Home Medical LLCNorth Chesterfield, VA$13.12M
Tricounty Medical Equipment and Supply, LLCPhiladelphia, PA$13.09M
Health Complex Medical LLCWaterbury, CT$13.03M
Keene Medical Products, LLCEnfield, NH$10.37M
Respiratory Home Care of Bristol, LLCChattanooga, TN$10.11M
Wecare Medical, LLCAshland, KY$9.90M
Airway Oxygen INCWyoming, MI$8.28M
American Ancillaries, INC.Las Vegas, NV$8.00M
Verus Healthcare, LLCBrentwood, TN$7.55M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.