Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MO › Saint Louis › NPI 1528069309
Residential

Provider Plus, INC

Provider Plus, INC was paid $2.96M by Medicaid between Jan 2018 and Dec 2024, across 52 billing codes. Its largest line is B4035, Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape — 16% of everything it billed.

33Billing provider infoPROVIDER PLUS, INC
SAINT LOUIS, MO 63119
33aNPI1528069309assigned 08/03/2005
28Total paid$2.96M
24GClaims144,825
24DCodes billed52
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in Missouri

Rank by total paid#115 of 175
Median peer was paid$6.82M
This provider vs. median0.4×

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$20K$40K$60K2018201920202021202220232024
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
201821,283$452K
201920,569$469K
202020,072$459K
202117,293$394K
202217,226$354K
202322,431$453K
2024incomplete25,951$380K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 16% 15,350 10,997 $469K
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 13% 16,242 14,183 $399K
E0601 Continuous positive airway pressure (cpap) device 6.3% 9,869 8,630 $186K
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 5.8% 5,877 4,638 $172K
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 5.8% 7,424 6,532 $172K
A7030 Full face mask used with positive airway pressure device, each 5.0% 2,797 2,373 $148K
E0562 Humidifier, heated, used with positive airway pressure device 3.5% 4,260 3,751 $104K
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap 3.5% 3,208 2,605 $104K
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 3.5% 1,960 1,434 $104K
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 3.5% 8,965 5,589 $103K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 3.2% 2,955 2,657 $94K
K0001 Standard wheelchair 2.7% 7,685 6,653 $81K
40 more codes
E0260 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress 2.7% 3,775 $81K
A7031 Face mask interface, replacement for full face mask, each 2.7% 4,535 $80K
K0823 Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds 2.5% 526 $75K
E0143 Walker, folding, wheeled, adjustable or fixed height 2.4% 3,199 $72K
A7035 Headgear used with positive airway pressure device 1.9% 4,354 $55K
A4604 Tubing with integrated heating element for use with positive airway pressure device 1.8% 4,176 $54K
E0570 Nebulizer, with compressor 1.8% 3,051 $53K
K0004 High strength, lightweight wheelchair 1.3% 639 $39K
K0195 Elevating leg rests, pair (for use with capped rental wheelchair base) <1% 3,861 $28K
A7038 Filter, disposable, used with positive airway pressure device <1% 8,608 $28K
T2029 Specialized medical equipment, not otherwise specified, waiver <1% 194 $27K
A7033 Pillow for use on nasal cannula type interface, replacement only, pair <1% 2,452 $25K
E0630 Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) <1% 1,314 $25K
E0619 Apnea monitor, with recording feature <1% 153 $24K
B9002 Enteral nutrition infusion pump, any type <1% 1,910 $21K
A7037 Tubing used with positive airway pressure device <1% 1,181 $19K
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each <1% 2,934 $19K
A7032 Cushion for use on nasal mask interface, replacement only, each <1% 1,159 $16K
K0003 Lightweight wheelchair <1% 1,170 $15K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape <1% 654 $13K
E0250 Hospital bed, fixed height, with any type side rails, with mattress <1% 959 $11K
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% 349 $8K
E0971 Manual wheelchair accessory, anti-tipping device, each <1% 2,749 $8K
E0165 Commode chair, mobile or stationary, with detachable arms <1% 381 $5K
E1392 Portable oxygen concentrator, rental <1% 1,001 $5K
K0006 Heavy duty wheelchair <1% 194 $5K
E1028 Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other <1% 172 $3K
B4036 Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape <1% 135 $3K
A7000 Canister, disposable, used with suction pump, each <1% 267 $2K
E2201 Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches <1% 349 $2K
E0776 Iv pole <1% 1,192 $2K
A4628 Oral and/or oropharyngeal suction catheter, each <1% 224 $2K
E0443 Portable oxygen contents, gaseous, 1 month's supply = 1 unit <1% 28 $1K
A7002 Tubing, used with suction pump, each <1% 269 $532.98
K0007 Extra heavy duty wheelchair <1% 13 $516.06
E2601 General use wheelchair seat cushion, width less than 22 inches, any depth <1% 20 $411.94
E0156 Seat attachment, walker <1% 25 $115.01
E0181 Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty <1% 15 $98.13
A7526 Tracheostomy tube collar/holder, each <1% 19 $73.26
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 27 $43.90

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)
Same official

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