Pediatric Home Respiratory Services LLC
Pediatric Home Respiratory Services LLC was paid $197.48M by Medicaid between Jan 2018 and Dec 2024, across 153 billing codes. Its largest line is E0465, Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) — 15% of everything it billed.
ROSEVILLE, MN 55113
Next to other Home Health Agency providers in Minnesota
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 | 119,452 | $19.08M | |
| 2019 | 142,174 | $22.96M | |
| 2020 | 154,841 | $26.19M | |
| 2021 | 155,273 | $26.40M | |
| 2022 | 173,045 | $30.14M | |
| 2023 | 206,626 | $37.57M | |
| 2024incomplete | 193,178 | $35.15M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | 15% | 23,890 | 13,995 | $30.19M |
| 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 | 12% | 46,683 | 32,088 | $24.54M |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 9.9% | 66,090 | 61,635 | $19.52M |
| 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 | 8.6% | 30,424 | 23,195 | $16.90M |
| 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 | 5.6% | 44,425 | 34,282 | $10.99M |
| B9998 | Noc for enteral supplies | 5.2% | 97,242 | 60,373 | $10.19M |
| 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 | 3.9% | 5,293 | 4,227 | $7.68M |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | 3.3% | 48,792 | 42,130 | $6.60M |
| E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | 3.2% | 4,652 | 3,690 | $6.29M |
| A4606 | Oxygen probe for use with oximeter device, replacement | 2.4% | 34,976 | 28,727 | $4.81M |
| A4217 | Sterile water/saline, 500 ml | 2.0% | 27,521 | 21,226 | $3.89M |
| E0445 | Oximeter device for measuring blood oxygen levels non-invasively | 1.9% | 17,999 | 15,929 | $3.83M |
141 more codes
| B9002 | Enteral nutrition infusion pump, any type | 1.4% | 22,852 | $2.81M |
| 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 | 1.4% | 10,992 | $2.71M |
| A7521 | Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each | 1.2% | 6,820 | $2.39M |
| 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 | 1.2% | 8,395 | $2.34M |
| T4530 | Pediatric sized disposable incontinence product, brief/diaper, large size, each | 1.1% | 13,609 | $2.21M |
| A4624 | Tracheal suction catheter, any type other than closed system, each | 1.0% | 11,312 | $2.06M |
| A4351 | Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each | <1% | 8,393 | $1.81M |
| A4605 | Tracheal suction catheter, closed system, each | <1% | 4,021 | $1.66M |
| T4521 | Adult sized disposable incontinence product, brief/diaper, small, each | <1% | 11,703 | $1.64M |
| A7520 | Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each | <1% | 8,795 | $1.41M |
| A7507 | Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each | <1% | 9,192 | $1.31M |
| T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | <1% | 9,347 | $1.20M |
| 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% | 4,563 | $1.20M |
| E0482 | Cough stimulating device, alternating positive and negative airway pressure | <1% | 1,974 | $1.18M |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | <1% | 8,927 | $1.15M |
| A7526 | Tracheostomy tube collar/holder, each | <1% | 12,706 | $1.13M |
| 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% | 1,957 | $1.05M |
| A4927 | Gloves, non-sterile, per 100 | <1% | 38,545 | $1.03M |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | <1% | 19,433 | $1.01M |
| T4541 | Incontinence product, disposable underpad, large, each | <1% | 21,673 | $984K |
| A6212 | Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing | <1% | 3,520 | $977K |
| A9999 | Miscellaneous dme supply or accessory, not otherwise specified | <1% | 53,636 | $977K |
| A6209 | Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 4,875 | $938K |
| A4352 | Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each | <1% | 1,265 | $915K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 6,597 | $857K |
| E1399 | Durable medical equipment, miscellaneous | <1% | 3,235 | $820K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | <1% | 9,900 | $644K |
| A4483 | Moisture exchanger, disposable, for use with invasive mechanical ventilation | <1% | 4,744 | $556K |
| T4531 | Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each | <1% | 4,548 | $555K |
| T4533 | Youth sized disposable incontinence product, brief/diaper, each | <1% | 3,656 | $555K |
| E0600 | Respiratory suction pump, home model, portable or stationary, electric | <1% | 5,468 | $501K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 25,185 | $479K |
| B4158 | Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 2,876 | $468K |
| 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% | 1,668 | $451K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 13,231 | $449K |
| A6210 | Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing | <1% | 1,282 | $437K |
| A7001 | Canister, non-disposable, used with suction pump, each | <1% | 13,519 | $419K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | <1% | 3,199 | $411K |
| T4529 | Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each | <1% | 2,673 | $410K |
| A4657 | Syringe, with or without needle, each | <1% | 45,801 | $383K |
| A4353 | Intermittent urinary catheter, with insertion supplies | <1% | 475 | $378K |
| A4453 | Rectal catheter with or without balloon, for use with any type transanal irrigation system, each | <1% | 875 | $361K |
| A6222 | Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 7,758 | $357K |
| A4322 | Irrigation syringe, bulb or piston, each | <1% | 9,820 | $338K |
| A4385 | Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each | <1% | 2,812 | $317K |
| B4036 | Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 1,668 | $309K |
| A4628 | Oral and/or oropharyngeal suction catheter, each | <1% | 18,239 | $304K |
| K0462 | Temporary replacement for patient owned equipment being repaired, any type | <1% | 2,256 | $277K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | <1% | 2,084 | $267K |
| L8501 | Tracheostomy speaking valve | <1% | 1,531 | $239K |
| T4525 | Adult sized disposable incontinence product, protective underwear/pull-on, small size, each | <1% | 1,862 | $221K |
| A7008 | Large volume nebulizer, disposable, prefilled, used with aerosol compressor | <1% | 1,919 | $215K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | <1% | 2,763 | $190K |
| E0562 | Humidifier, heated, used with positive airway pressure device | <1% | 5,569 | $183K |
| T4532 | Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each | <1% | 1,009 | $178K |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | <1% | 3,689 | $171K |
| A4213 | Syringe, sterile, 20 cc or greater, each | <1% | 6,773 | $170K |
| B4162 | Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 485 | $169K |
| A4218 | Sterile saline or water, metered dose dispenser, 10 ml | <1% | 9,500 | $163K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 15,515 | $153K |
| E0776 | Iv pole | <1% | 1,422 | $146K |
| A7002 | Tubing, used with suction pump, each | <1% | 19,953 | $143K |
| A4357 | Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each | <1% | 1,970 | $140K |
| A7000 | Canister, disposable, used with suction pump, each | <1% | 8,816 | $137K |
| S8189 | Tracheostomy supply, not otherwise classified | <1% | 12,720 | $135K |
| A4332 | Lubricant, individual sterile packet, each | <1% | 6,579 | $113K |
| A4456 | Adhesive remover, wipes, any type, each | <1% | 5,859 | $100K |
| A7020 | Interface for cough stimulating device, includes all components, replacement only | <1% | 5,247 | $95K |
| E0601 | Continuous positive airway pressure (cpap) device | <1% | 1,830 | $90K |
| A4452 | Tape, waterproof, per 18 square inches | <1% | 12,357 | $90K |
| A4362 | Skin barrier; solid, 4 x 4 or equivalent; each | <1% | 1,199 | $88K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | <1% | 637 | $82K |
| A7035 | Headgear used with positive airway pressure device | <1% | 2,753 | $74K |
| A4421 | Ostomy supply; miscellaneous | <1% | 475 | $73K |
| A4344 | Indwelling catheter, foley type, two-way, all silicone or polyurethane, each | <1% | 339 | $65K |
| A5120 | Skin barrier, wipes or swabs, each | <1% | 4,993 | $63K |
| A4409 | Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each | <1% | 574 | $60K |
| A4623 | Tracheostomy, inner cannula | <1% | 283 | $60K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 4,233 | $49K |
| E0570 | Nebulizer, with compressor | <1% | 635 | $45K |
| A4245 | Alcohol wipes, per box | <1% | 8,297 | $45K |
| A4414 | Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each | <1% | 457 | $43K |
| A4425 | Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each | <1% | 720 | $43K |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 8,894 | $43K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | <1% | 714 | $41K |
| A4629 | Tracheostomy care kit for established tracheostomy | <1% | 759 | $30K |
| E0443 | Portable oxygen contents, gaseous, 1 month's supply = 1 unit | <1% | 610 | $28K |
| A4627 | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler | <1% | 873 | $28K |
| A4358 | Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each | <1% | 567 | $27K |
| A6213 | Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing | <1% | 125 | $26K |
| T4542 | Incontinence product, disposable underpad, small size, each | <1% | 1,348 | $24K |
| A7030 | Full face mask used with positive airway pressure device, each | <1% | 221 | $23K |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | <1% | 107 | $23K |
| A6258 | Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing | <1% | 293 | $23K |
| E0619 | Apnea monitor, with recording feature | <1% | 109 | $22K |
| S8186 | Swivel adapter | <1% | 2,751 | $21K |
| A7037 | Tubing used with positive airway pressure device | <1% | 1,838 | $20K |
| A5056 | Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each | <1% | 167 | $19K |
| B4100 | Food thickener, administered orally, per ounce | <1% | 625 | $18K |
| A4209 | Syringe with needle, sterile 5 cc or greater, each | <1% | 2,663 | $18K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 4,098 | $18K |
| A7525 | Tracheostomy mask, each | <1% | 5,688 | $17K |
| A4618 | Breathing circuits | <1% | 1,170 | $16K |
| E0565 | Compressor, air power source for equipment which is not self-contained or cylinder driven | <1% | 207 | $15K |
| S8999 | Resuscitation bag (for use by patient on artificial respiration during power failure or other catastrophic event) | <1% | 449 | $15K |
| A4930 | Gloves, sterile, per pair | <1% | 329 | $14K |
| S8120 | Oxygen contents, gaseous, 1 unit equals 1 cubic foot | <1% | 764 | $14K |
| A7039 | Filter, non disposable, used with positive airway pressure device | <1% | 3,324 | $13K |
| B4082 | Nasogastric tubing without stylet | <1% | 348 | $12K |
| A7013 | Filter, disposable, used with aerosol compressor or ultrasonic generator | <1% | 6,704 | $11K |
| A6234 | Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 94 | $8K |
| A6257 | Transparent film, sterile, 16 sq. in. or less, each dressing | <1% | 327 | $7K |
| A4402 | Lubricant, per ounce | <1% | 844 | $6K |
| K0003 | Lightweight wheelchair | <1% | 119 | $6K |
| B4103 | Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit | <1% | 326 | $5K |
| A4335 | Incontinence supply; miscellaneous | <1% | 105 | $5K |
| A4371 | Ostomy skin barrier, powder, per oz | <1% | 477 | $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% | 81 | $4K |
| A4554 | Disposable underpads, all sizes | <1% | 189 | $3K |
| A4458 | Enema bag with tubing, reusable | <1% | 722 | $3K |
| A5063 | Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each | <1% | 87 | $3K |
| A4250 | Urine test or reagent strips or tablets (100 tablets or strips) | <1% | 212 | $2K |
| A4407 | Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each | <1% | 13 | $2K |
| A7045 | Exhalation port with or without swivel used with accessories for positive airway devices, replacement only | <1% | 193 | $2K |
| A6216 | Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 95 | $1K |
| A4450 | Tape, non-waterproof, per 18 square inches | <1% | 139 | $894.89 |
| E0978 | Wheelchair accessory, positioning belt/safety belt/pelvic strap, each | <1% | 256 | $841.51 |
| E0990 | Wheelchair accessory, elevating leg rest, complete assembly, each | <1% | 74 | $680.08 |
| A6260 | Wound cleansers, any type, any size | <1% | 46 | $636.45 |
| E0190 | Positioning cushion/pillow/wedge, any shape or size, includes all components and accessories | <1% | 33 | $567.13 |
| A4394 | Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce | <1% | 47 | $484.09 |
| A4244 | Alcohol or peroxide, per pint | <1% | 120 | $472.78 |
| A4206 | Syringe with needle, sterile, 1 cc or less, each | <1% | 117 | $417.64 |
| E0971 | Manual wheelchair accessory, anti-tipping device, each | <1% | 90 | $322.37 |
| A7527 | Tracheostomy/laryngectomy tube plug/stop, each | <1% | 48 | $283.78 |
| A4333 | Urinary catheter anchoring device, adhesive skin attachment, each | <1% | 15 | $129.96 |
| A7014 | Filter, nondisposable, used with aerosol compressor or ultrasonic generator | <1% | 14 | $30.19 |
| S8210 | Mucus trap | <1% | 13 | $17.34 |
| A4626 | Tracheostomy cleaning brush, each | <1% | 26 | $2.50 |
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | 0% | 483 | $0.00 |
| S9999 | Sales tax | 0% | 415 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Apple Homecare Medical Supply LLC | Richardson, TX | $123.28M |
| Urs Sub I, LLC | Waco, TX | $75.72M |
| Advanced Medical Equipment, LLC | Miamisburg, OH | $58.36M |
| TCG Interests, LLC | Houston, TX | $52.36M |
| Alliance Medical Supply, LLC | San Antonio, TX | $34.76M |
| RSVP Equipment of Greater Cincinnati, LLC | Covington, KY | $24.45M |
| Medic Home Health Care, LLC | Mayfield Village, OH | $17.00M |
| Pediatric Home Respiratory Services LLC | Roseville, MN | $14.21M |
| Cherub Medical Supply, LLC | Lenexa, KS | $6.26M |
| Mobile Medical Maintenance, LLC | Fort Wayne, IN | $4.28M |
| Pulmonary Partners LLC | Covington, KY | $431K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.