Supplier
Prism Health Care Services, INC.
Prism Health Care Services, INC. was paid $4.86M by Medicaid between Jan 2018 and Dec 2024, across 60 billing codes. Its largest line is E0601, Continuous positive airway pressure (cpap) device — 18% of everything it billed.
33Billing provider infoPRISM HEALTH CARE SERVICES, INC.
SCHAUMBURG, IL 60173
SCHAUMBURG, IL 60173
33aNPI1457314130assigned 04/11/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$4.86M
24GClaims153,569
24DCodes billed60
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Illinois
Rank by total paid#34 of 323
Median peer was paid$217K
This provider vs. median22×
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 | 8,522 | $152K | |
| 2019 | 14,374 | $300K | |
| 2020 | 25,261 | $696K | |
| 2021 | 24,325 | $863K | |
| 2022 | 28,220 | $995K | |
| 2023 | 28,226 | $951K | |
| 2024incomplete | 24,641 | $900K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E0601 | Continuous positive airway pressure (cpap) device | 18% | 19,234 | 17,783 | $889K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 6.9% | 21,450 | 19,601 | $337K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 6.7% | 3,854 | 3,550 | $323K |
| 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) | 6.4% | 2,398 | 2,214 | $309K |
| A7030 | Full face mask used with positive airway pressure device, each | 5.6% | 4,981 | 4,726 | $274K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | 5.4% | 5,800 | 5,483 | $264K |
| K0001 | Standard wheelchair | 4.5% | 8,128 | 7,234 | $217K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | 4.0% | 5,159 | 4,860 | $192K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 3.6% | 9,027 | 8,540 | $174K |
| K0003 | Lightweight wheelchair | 3.4% | 3,316 | 3,011 | $163K |
| E2611 | General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware | 3.3% | 1,680 | 1,460 | $158K |
| E0630 | Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) | 2.8% | 2,610 | 2,486 | $138K |
48 more codes
| 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) | 2.5% | 676 | $124K |
| A7031 | Face mask interface, replacement for full face mask, each | 2.5% | 4,535 | $121K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 2.4% | 1,427 | $116K |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | 2.1% | 2,845 | $104K |
| E0247 | Transfer bench for tub or toilet with or without commode opening | 2.1% | 1,011 | $102K |
| A7035 | Headgear used with positive airway pressure device | 1.9% | 6,670 | $94K |
| K0004 | High strength, lightweight wheelchair | 1.9% | 1,676 | $93K |
| E0277 | Powered pressure-reducing air mattress | 1.5% | 349 | $73K |
| A7033 | Pillow for use on nasal cannula type interface, replacement only, pair | 1.5% | 2,504 | $71K |
| K0002 | Standard hemi (low seat) wheelchair | 1.1% | 1,219 | $54K |
| E2601 | General use wheelchair seat cushion, width less than 22 inches, any depth | 1.1% | 1,037 | $53K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 11,021 | $47K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | <1% | 801 | $46K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 5,268 | $45K |
| E0163 | Commode chair, mobile or stationary, with fixed arms | <1% | 439 | $32K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 2,112 | $29K |
| 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% | 401 | $27K |
| E0165 | Commode chair, mobile or stationary, with detachable arms | <1% | 1,030 | $23K |
| E0255 | Hospital bed, variable height, hi-lo, with any type side rails, with mattress | <1% | 389 | $17K |
| A7037 | Tubing used with positive airway pressure device | <1% | 823 | $17K |
| E2201 | Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches | <1% | 783 | $14K |
| E0240 | Bath/shower chair, with or without wheels, any size | <1% | 112 | $11K |
| K0007 | Extra heavy duty wheelchair | <1% | 150 | $11K |
| 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% | 219 | $10K |
| E0971 | Manual wheelchair accessory, anti-tipping device, each | <1% | 7,704 | $10K |
| E1226 | Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each | <1% | 213 | $10K |
| K0006 | Heavy duty wheelchair | <1% | 180 | $10K |
| 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% | 175 | $8K |
| E0600 | Respiratory suction pump, home model, portable or stationary, electric | <1% | 331 | $8K |
| E0570 | Nebulizer, with compressor | <1% | 592 | $7K |
| E0261 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress | <1% | 119 | $7K |
| E0185 | Gel or gel-like pressure pad for mattress, standard mattress length and width | <1% | 73 | $5K |
| A4623 | Tracheostomy, inner cannula | <1% | 181 | $4K |
| E0978 | Wheelchair accessory, positioning belt/safety belt/pelvic strap, each | <1% | 2,344 | $3K |
| T4541 | Incontinence product, disposable underpad, large, each | <1% | 41 | $3K |
| E0961 | Manual wheelchair accessory, wheel lock brake extension (handle), each | <1% | 3,134 | $2K |
| E0973 | Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each | <1% | 817 | $2K |
| A4314 | Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) | <1% | 395 | $1K |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | <1% | 421 | $1K |
| E1392 | Portable oxygen concentrator, rental | <1% | 47 | $1K |
| A4629 | Tracheostomy care kit for established tracheostomy | <1% | 53 | $1K |
| A4357 | Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each | <1% | 427 | $907.50 |
| K0056 | Seat height less than 17" or equal to or greater than 21" for a high strength, lightweight, or ultralightweight wheelchair | <1% | 61 | $770.98 |
| E0951 | Heel loop/holder, any type, with or without ankle strap, each | <1% | 1,017 | $654.54 |
| E0156 | Seat attachment, walker | <1% | 50 | $546.47 |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | <1% | 13 | $160.07 |
| A4358 | Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each | <1% | 32 | $14.23 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 15 | $13.26 |
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 officialMACK, NEIDA (VICE PRESIDENT)