Health Complex Medical LLC
Health Complex Medical LLC was paid $13.03M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is A7030, Full face mask used with positive airway pressure device, each — 17% of everything it billed.
WATERBURY, CT 06705
Next to other Pharmacy providers in Connecticut
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 61,540 | $1.69M | |
| 2019 | 74,091 | $1.75M | |
| 2020 | 82,443 | $1.50M | |
| 2021 | 85,866 | $1.74M | |
| 2022 | 116,437 | $1.94M | |
| 2023 | 127,871 | $2.28M | |
| 2024incomplete | 124,699 | $2.13M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A7030 | Full face mask used with positive airway pressure device, each | 17% | 46,108 | 35,330 | $2.16M |
| E0601 | Continuous positive airway pressure (cpap) device | 13% | 69,699 | 49,976 | $1.66M |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 12% | 72,814 | 55,375 | $1.50M |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 8.5% | 47,152 | 35,431 | $1.11M |
| A7031 | Face mask interface, replacement for full face mask, each | 7.3% | 46,137 | 35,436 | $952K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | 7.1% | 32,725 | 24,741 | $920K |
| E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | 6.5% | 3,824 | 2,854 | $846K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 5.0% | 45,280 | 34,043 | $652K |
| A7035 | Headgear used with positive airway pressure device | 3.6% | 46,644 | 35,501 | $466K |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | 2.9% | 17,722 | 13,140 | $382K |
| 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) | 2.8% | 6,217 | 4,648 | $368K |
| 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 | 2.3% | 25,412 | 19,001 | $298K |
38 more codes
| A7033 | Pillow for use on nasal cannula type interface, replacement only, pair | 2.1% | 15,125 | $270K |
| E0570 | Nebulizer, with compressor | 1.9% | 19,166 | $249K |
| A7038 | Filter, disposable, used with positive airway pressure device | 1.8% | 92,517 | $233K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | 1.6% | 31,805 | $203K |
| 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) | 1.2% | 1,222 | $160K |
| J7606 | Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms | <1% | 1,310 | $83K |
| E1392 | Portable oxygen concentrator, rental | <1% | 6,975 | $72K |
| J7626 | Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg | <1% | 4,898 | $58K |
| J7605 | Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms | <1% | 1,035 | $57K |
| T4541 | Incontinence product, disposable underpad, large, each | <1% | 1,144 | $56K |
| Q0513 | Pharmacy dispensing fee for inhalation drug(s); per 30 days | <1% | 5,448 | $32K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | <1% | 243 | $31K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | <1% | 547 | $30K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | <1% | 243 | $30K |
| A7037 | Tubing used with positive airway pressure device | <1% | 4,368 | $28K |
| A7039 | Filter, non disposable, used with positive airway pressure device | <1% | 6,856 | $22K |
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | <1% | 603 | $20K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | <1% | 872 | $15K |
| A4927 | Gloves, non-sterile, per 100 | <1% | 925 | $11K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | <1% | 1,008 | $8K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 1,422 | $8K |
| A7036 | Chinstrap used with positive airway pressure device | <1% | 1,572 | $8K |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 2,890 | $5K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 5,842 | $5K |
| K0001 | Standard wheelchair | <1% | 1,412 | $4K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | <1% | 47 | $4K |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 2,074 | $3K |
| E0600 | Respiratory suction pump, home model, portable or stationary, electric | <1% | 308 | $3K |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | <1% | 587 | $2K |
| E0261 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress | <1% | 29 | $2K |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | <1% | 13 | $2K |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | <1% | 299 | $1K |
| E0163 | Commode chair, mobile or stationary, with fixed arms | <1% | 27 | $754.59 |
| E0630 | Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) | <1% | 45 | $366.53 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 238 | $112.69 |
| E0156 | Seat attachment, walker | <1% | 20 | $112.56 |
| K0003 | Lightweight wheelchair | <1% | 28 | $46.61 |
| A7014 | Filter, nondisposable, used with aerosol compressor or ultrasonic generator | <1% | 50 | $42.04 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.