Supplier
Founders Healthcare, LLC
Founders Healthcare, LLC was paid $253K by Medicaid between Jan 2018 and Aug 2024, across 24 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 — 73% of everything it billed.
33Billing provider infoFOUNDERS HEALTHCARE, LLC
PRESCOTT VALLEY, AZ 86314
PRESCOTT VALLEY, AZ 86314
33aNPI1619918000assigned 06/09/2006
33bProvider typeOxygen Equipment & Supplies (DME)
28Total paid$253K
24GClaims21,810
24DCodes billed24
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Oxygen Equipment & Supplies (DME) providers in Arizona
Rank by total paid#18 of 23
Median peer was paid$930K
This provider vs. median0.3×
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 MCCARTHY, GREGORY controls 20+ related entities in our dataset. Read more
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 | 1,213 | $28K | |
| 2019 | 1,371 | $35K | |
| 2020 | 852 | $26K | |
| 2021 | 1,385 | $24K | |
| 2022 | 1,682 | $36K | |
| 2023 | 10,213 | $31K | |
| 2024incomplete | 5,094 | $72K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 73% | 8,503 | 8,095 | $186K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 8.6% | 5,746 | 5,500 | $22K |
| A7030 | Full face mask used with positive airway pressure device, each | 3.7% | 438 | 435 | $9K |
| A7031 | Face mask interface, replacement for full face mask, each | 2.8% | 563 | 531 | $7K |
| E0601 | Continuous positive airway pressure (cpap) device | 2.1% | 1,162 | 1,126 | $5K |
| K0001 | Standard wheelchair | 1.4% | 366 | 341 | $4K |
| 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) | 1.3% | 550 | 534 | $3K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 1.3% | 342 | 341 | $3K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 558 | 524 | $2K |
| A7035 | Headgear used with positive airway pressure device | <1% | 503 | 496 | $2K |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | <1% | 141 | 130 | $2K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 1,432 | 1,370 | $2K |
12 more codes
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | <1% | 80 | $2K |
| E0562 | Humidifier, heated, used with positive airway pressure device | <1% | 104 | $1K |
| 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 | <1% | 127 | $1K |
| A7037 | Tubing used with positive airway pressure device | <1% | 313 | $836.31 |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 39 | $334.39 |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | <1% | 314 | $202.51 |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 236 | $163.41 |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | <1% | 27 | $64.94 |
| E1392 | Portable oxygen concentrator, rental | <1% | 216 | $61.14 |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 0% | 24 | $0.00 |
| 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) | 0% | 12 | $0.00 |
| B9002 | Enteral nutrition infusion pump, any type | 0% | 14 | $0.00 |
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 officialMCCARTHY, GREGORY (CHIEF OPERATIONS OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Founders Healthcare, LLC | Phoenix, AZ | $4.02M |
| Lincare INC. | Durham, NC | $3.22M |
| Med 4 Home INC. | Kansas City, MO | $2.50M |
| Specialized Medical Services, INC. | New Berlin, WI | $2.08M |
| Lincare INC. | Anderson, IN | $1.75M |
| Lincare INC. | Longview, WA | $1.71M |
| Lincare INC. | Chantilly, VA | $1.25M |
| Lincare INC. | Newtown, CT | $1.15M |
| Lincare INC | Memphis, TN | $849K |
| Lincare INC. | Rutland, VT | $751K |
| Health Care Solutions at Home INC. | New Philadelphia, OH | $606K |
| Lincare INC. | Aurora, MO | $590K |
| Lincare INC. | Glasgow, KY | $583K |
| Lincare INC. | Lenoir City, TN | $546K |
| Lincare INC. | Traverse City, MI | $514K |
| Lincare INC. | Oswego, NY | $428K |
| Lincare INC. | Norton, VA | $394K |
| Lincare INC. | Marianna, FL | $266K |
| Lincare INC. | Ithaca, NY | $264K |
| Lincare INC. | Portville, NY | $250K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.