Medicaid Provider Spending

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

ROCKY MOUNTAIN MEDICAL EQUIPMENT, INC.

NPI: 1376530220 · LAKEWOOD, CO 80227 · Durable Medical Equipment & Medical Supplies · NPI assigned 10/04/2005

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

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

$26.94M
Total Medicaid Paid
269,304
Total Claims
220,217
Beneficiaries
83
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSALESI, WENDY (CCO)
Parent OrganizationAEROCARE HOLDINGS, INC.
NPI Enumeration Date10/04/2005

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
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
VERUS HEALTHCARE, LLC BRENTWOOD TN $7.55M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24,226 $3.94M
2019 32,698 $3.83M
2020 51,705 $4.30M
2021 42,827 $3.56M
2022 39,474 $3.64M
2023 44,261 $4.16M
2024 34,113 $3.51M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 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 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 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 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 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 5,546 4,426 $1.14M
A4554 Disposable underpads, all sizes 25,578 21,653 $924K
T4534 Youth sized disposable incontinence product, protective underwear/pull-on, each 5,690 5,501 $877K
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each 5,869 5,105 $820K
E0601 Continuous positive airway pressure (cpap) device 10,239 6,801 $817K
A9277 Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system 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 7,176 5,707 $690K
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each 6,163 4,755 $668K
B9998 Noc for enteral supplies 10,192 8,821 $652K
A4927 Gloves, non-sterile, per 100 27,715 23,421 $537K
A7030 Full face mask used with positive airway pressure device, each 4,657 3,331 $527K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each 5,483 4,253 $527K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each 11,429 9,452 $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 3,148 2,531 $449K
E0562 Humidifier, heated, used with positive airway pressure device 2,103 1,401 $397K
T4522 Adult sized disposable incontinence product, brief/diaper, medium, each 3,668 3,471 $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 3,405 2,821 $370K
T4528 Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each 3,374 2,773 $354K
T4523 Adult sized disposable incontinence product, brief/diaper, large, each 2,586 2,253 $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 1,367 1,137 $322K
A6250 Skin sealants, protectants, moisturizers, ointments, any type, any size 27,793 22,380 $298K
A7031 Face mask interface, replacement for full face mask, each 4,728 3,671 $269K
K0108 Wheelchair component or accessory, not otherwise specified 778 528 $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 313 283 $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 1,735 1,520 $213K
B9002 Enteral nutrition infusion pump, any type 819 750 $204K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 1,335 1,276 $180K
E0143 Walker, folding, wheeled, adjustable or fixed height 3,135 2,851 $153K
T4521 Adult sized disposable incontinence product, brief/diaper, small, each 1,276 1,212 $144K
T4525 Adult sized disposable incontinence product, protective underwear/pull-on, small size, each 1,728 1,590 $144K
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap 2,490 1,774 $144K
T4524 Adult sized disposable incontinence product, brief/diaper, extra large, each 923 884 $123K
A9278 Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system 250 185 $122K
A7035 Headgear used with positive airway pressure device 4,685 3,147 $116K
A4604 Tubing with integrated heating element for use with positive airway pressure device 3,059 2,503 $114K
A7037 Tubing used with positive airway pressure device 3,884 2,400 $105K
T4533 Youth sized disposable incontinence product, brief/diaper, each 996 964 $100K
A7038 Filter, disposable, used with positive airway pressure device 7,763 5,591 $87K
T4530 Pediatric sized disposable incontinence product, brief/diaper, large size, each 1,020 961 $81K
B4100 Food thickener, administered orally, per ounce 885 747 $71K
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips 1,515 1,381 $71K
A7032 Cushion for use on nasal mask interface, replacement only, each 1,695 1,347 $56K
A9286 Hygienic item or device, disposable or non-disposable, any type, each 2,494 2,471 $51K
E1399 Durable medical equipment, miscellaneous 38 31 $48K
E1028 Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other 225 160 $46K
T4544 Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each 222 205 $36K
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 5,038 3,158 $25K
A9900 Miscellaneous dme supply, accessory, and/or service component of another hcpcs code 275 217 $23K
B4104 Additive for enteral formula (e.g., fiber) 335 293 $22K
K0001 Standard wheelchair 650 551 $21K
T4529 Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each 266 264 $21K
T4531 Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each 169 166 $14K
A7033 Pillow for use on nasal cannula type interface, replacement only, pair 378 330 $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) 98 82 $13K
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf 58 56 $11K
B4102 Enteral formula, for adults, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit 610 512 $11K
K0002 Standard hemi (low seat) wheelchair 237 202 $10K
A9901 Dme delivery, set up, and/or dispensing service component of another hcpcs code 581 407 $8K
E0973 Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each 49 27 $5K
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each 34 25 $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 2,306 1,513 $4K
E0260 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress 59 49 $3K
L3809 Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type 15 14 $2K
E0971 Manual wheelchair accessory, anti-tipping device, each 127 79 $2K
E0441 Stationary oxygen contents, gaseous, 1 month's supply = 1 unit 40 40 $2K
A7039 Filter, non disposable, used with positive airway pressure device 197 190 $2K
E0978 Wheelchair accessory, positioning belt/safety belt/pelvic strap, each 81 59 $2K
E0156 Seat attachment, walker 150 126 $2K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 56 52 $2K
E0955 Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each 26 13 $1K
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each 2,934 2,080 $831.73
E0570 Nebulizer, with compressor 55 55 $589.58
K0195 Elevating leg rests, pair (for use with capped rental wheelchair base) 86 77 $456.17
E0951 Heel loop/holder, any type, with or without ankle strap, each 82 40 $358.34
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 248 190 $344.38
E0730 Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation 15 15 $49.29
E1392 Portable oxygen concentrator, rental 429 367 $7.67
A4520 Incontinence garment, any type, (e.g., brief, diaper), each 48 46 $0.00