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

Fletcher's Medical Supplies, INC.

Fletcher's Medical Supplies, INC. was paid $17.46M by Medicaid between Jan 2018 and Dec 2024, across 120 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 — 17% of everything it billed.

33Billing provider infoFLETCHER'S MEDICAL SUPPLIES, INC.
JACKSONVILLE, FL 32256
33aNPI1457348807assigned 09/30/2005
28Total paid$17.46M
24GClaims366,331
24DCodes billed120
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Oxygen Equipment & Supplies (DME) providers in Florida

Rank by total paid#2 of 65
Median peer was paid$165K
This provider vs. median106×

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$400K2018201920202021202220232024
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
20182,887$83K
201954,317$2.64M
202067,567$3.57M
202174,862$3.90M
202263,216$3.35M
202362,686$2.35M
2024incomplete40,796$1.57M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 17% 43,587 37,223 $3.03M
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 12% 2,624 1,796 $2.06M
E0601 Continuous positive airway pressure (cpap) device 5.5% 18,865 16,858 $961K
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 4.8% 10,069 6,134 $840K
E0570 Nebulizer, with compressor 4.8% 16,052 14,221 $837K
E0466 Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) 4.5% 2,482 2,127 $779K
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 4.4% 4,793 4,515 $767K
E0465 Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) 4.0% 1,635 1,486 $702K
B9002 Enteral nutrition infusion pump, any type 3.4% 9,809 9,387 $600K
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) 2.7% 4,112 3,777 $465K
E0445 Oximeter device for measuring blood oxygen levels non-invasively 2.2% 5,697 5,464 $389K
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 2.1% 2,246 1,921 $372K
108 more codes
E1399 Durable medical equipment, miscellaneous 2.1% 811 $361K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 1.9% 37,170 $333K
E0424 Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing 1.8% 2,452 $309K
K0001 Standard wheelchair 1.7% 17,551 $302K
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 1.5% 1,528 $268K
A4209 Syringe with needle, sterile 5 cc or greater, each 1.4% 2,334 $253K
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 1.3% 1,114 $232K
A4624 Tracheal suction catheter, any type other than closed system, each 1.2% 2,079 $216K
E0143 Walker, folding, wheeled, adjustable or fixed height 1.1% 5,395 $191K
A4213 Syringe, sterile, 20 cc or greater, each 1.1% 3,593 $184K
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each <1% 2,937 $174K
E0619 Apnea monitor, with recording feature <1% 1,778 $164K
T4534 Youth sized disposable incontinence product, protective underwear/pull-on, each <1% 1,538 $157K
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler <1% 9,126 $143K
E0439 Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing <1% 997 $132K
A4554 Disposable underpads, all sizes <1% 3,136 $120K
E0260 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress <1% 4,793 $120K
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% 505 $100K
T4530 Pediatric sized disposable incontinence product, brief/diaper, large size, each <1% 1,395 $88K
T4522 Adult sized disposable incontinence product, brief/diaper, medium, each <1% 947 $80K
E0562 Humidifier, heated, used with positive airway pressure device <1% 20,254 $76K
A4927 Gloves, non-sterile, per 100 <1% 4,789 $68K
E0255 Hospital bed, variable height, hi-lo, with any type side rails, with mattress <1% 1,231 $68K
A4629 Tracheostomy care kit for established tracheostomy <1% 1,517 $66K
E1060 Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests <1% 1,048 $64K
E0600 Respiratory suction pump, home model, portable or stationary, electric <1% 3,099 $63K
E0163 Commode chair, mobile or stationary, with fixed arms <1% 2,282 $62K
T4521 Adult sized disposable incontinence product, brief/diaper, small, each <1% 867 $62K
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each <1% 488 $61K
K0007 Extra heavy duty wheelchair <1% 907 $61K
K0108 Wheelchair component or accessory, not otherwise specified <1% 315 $58K
A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable <1% 10,547 $56K
A7520 Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each <1% 1,309 $54K
E0630 Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) <1% 2,841 $53K
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml <1% 1,162 $45K
E0565 Compressor, air power source for equipment which is not self-contained or cylinder driven <1% 1,679 $43K
K0823 Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds <1% 598 $42K
E1150 Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests <1% 1,116 $42K
B9998 Noc for enteral supplies <1% 545 $42K
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% 1,136 $40K
E1392 Portable oxygen concentrator, rental <1% 3,632 $35K
A7508 Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each <1% 616 $30K
A4322 Irrigation syringe, bulb or piston, each <1% 1,158 $30K
A4452 Tape, waterproof, per 18 square inches <1% 1,234 $28K
K0195 Elevating leg rests, pair (for use with capped rental wheelchair base) <1% 6,025 $26K
A4623 Tracheostomy, inner cannula <1% 643 $26K
A7526 Tracheostomy tube collar/holder, each <1% 2,602 $26K
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 4,635 $25K
E0149 Walker, heavy duty, wheeled, rigid or folding, any type <1% 643 $25K
K0006 Heavy duty wheelchair <1% 604 $24K
E1028 Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other <1% 2,121 $24K
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 2,714 $24K
A4244 Alcohol or peroxide, per pint <1% 1,490 $23K
K0003 Lightweight wheelchair <1% 958 $22K
A4208 Syringe with needle, sterile 3 cc, each <1% 100 $19K
A4353 Intermittent urinary catheter, with insertion supplies <1% 50 $17K
A7030 Full face mask used with positive airway pressure device, each <1% 2,463 $17K
E0776 Iv pole <1% 2,722 $17K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape <1% 436 $17K
A7031 Face mask interface, replacement for full face mask, each <1% 3,181 $14K
A7002 Tubing, used with suction pump, each <1% 3,083 $13K
B4036 Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape <1% 157 $12K
A7000 Canister, disposable, used with suction pump, each <1% 2,287 $11K
T4525 Adult sized disposable incontinence product, protective underwear/pull-on, small size, each <1% 110 $10K
A4402 Lubricant, per ounce <1% 392 $7K
A7015 Aerosol mask, used with dme nebulizer <1% 14,417 $6K
A6216 Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 650 $5K
A7033 Pillow for use on nasal cannula type interface, replacement only, pair <1% 963 $5K
E1226 Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each <1% 84 $5K
E0971 Manual wheelchair accessory, anti-tipping device, each <1% 646 $5K
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap <1% 1,491 $4K
A7032 Cushion for use on nasal mask interface, replacement only, each <1% 1,085 $4K
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% 993 $4K
E0156 Seat attachment, walker <1% 1,759 $4K
T4523 Adult sized disposable incontinence product, brief/diaper, large, each <1% 50 $4K
A7038 Filter, disposable, used with positive airway pressure device <1% 5,961 $4K
E0973 Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each <1% 247 $3K
A7037 Tubing used with positive airway pressure device <1% 654 $3K
A6209 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 85 $3K
A7525 Tracheostomy mask, each <1% 1,518 $3K
A4604 Tubing with integrated heating element for use with positive airway pressure device <1% 3,132 $3K
A7007 Large volume nebulizer, disposable, unfilled, used with aerosol compressor <1% 372 $2K
E2601 General use wheelchair seat cushion, width less than 22 inches, any depth <1% 209 $2K
A4450 Tape, non-waterproof, per 18 square inches <1% 123 $2K
T4533 Youth sized disposable incontinence product, brief/diaper, each <1% 40 $2K
A7035 Headgear used with positive airway pressure device <1% 1,946 $2K
E0434 Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing <1% 157 $2K
E0978 Wheelchair accessory, positioning belt/safety belt/pelvic strap, each <1% 279 $2K
E0185 Gel or gel-like pressure pad for mattress, standard mattress length and width <1% 216 $2K
A4245 Alcohol wipes, per box <1% 366 $2K
E0245 Tub stool or bench <1% 66 $2K
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each <1% 1,437 $1K
E0961 Manual wheelchair accessory, wheel lock brake extension (handle), each <1% 457 $1K
A7012 Water collection device, used with large volume nebulizer <1% 274 $1K
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips <1% 25 $1K
E0181 Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty <1% 139 $730.75
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% 996 $687.62
E2611 General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware <1% 18 $668.06
A4605 Tracheal suction catheter, closed system, each <1% 34 $409.21
A4357 Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each <1% 174 $395.31
A6234 Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 16 $248.50
A7010 Corrugated tubing, disposable, used with large volume nebulizer, 100 feet <1% 32 $195.38
A4628 Oral and/or oropharyngeal suction catheter, each <1% 67 $191.08
A4616 Tubing (oxygen), per foot <1% 109 $18.70
E0955 Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each <1% 16 $12.13
A7039 Filter, non disposable, used with positive airway pressure device <1% 13 $7.28
A7036 Chinstrap used with positive airway pressure device <1% 16 $2.34
A4657 Syringe, with or without needle, each <1% 63 $1.83

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 (CHIEF COMPLIANCE OFFICER)
Same official

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