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

Apple Homecare Medical Supply LLC

Apple Homecare Medical Supply LLC was paid $123.28M by Medicaid between Jan 2018 and Dec 2024, across 116 billing codes. Its largest line is 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% of everything it billed.

33Billing provider infoAPPLE HOMECARE MEDICAL SUPPLY LLC
RICHARDSON, TX 75081
33aNPI1649259797assigned 01/16/2006
28Total paid$123.28M
24GClaims1,077,935
24DCodes billed116
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Customized Equipment (DME) providers in Texas

Rank by total paid#1 of 91
Median peer was paid$402K
This provider vs. median307×

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 ZEHNDER, CAMEO controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0M$2.0M$3.0M2018201920202021202220232024
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
20185,728$279K
20195,404$125K
202093,888$7.92M
2021260,853$27.83M
2022242,951$28.16M
2023251,746$30.66M
2024incomplete217,365$28.31M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 19,939 18,438 $15.26M
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 11% 53,254 50,681 $14.17M
E0465 Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) 10% 18,464 15,510 $12.83M
B9998 Noc for enteral supplies 5.4% 74,657 58,262 $6.60M
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 5.2% 20,841 19,533 $6.42M
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 4.5% 47,443 46,737 $5.51M
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 4.0% 12,444 11,350 $4.91M
E0466 Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) 3.9% 6,389 6,080 $4.84M
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% 3,325 3,079 $4.81M
A4606 Oxygen probe for use with oximeter device, replacement 3.0% 51,005 31,648 $3.71M
E0482 Cough stimulating device, alternating positive and negative airway pressure 2.4% 11,636 11,435 $3.00M
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 2.3% 10,257 9,568 $2.89M
104 more codes
E1399 Durable medical equipment, miscellaneous 2.2% 6,107 $2.67M
E0445 Oximeter device for measuring blood oxygen levels non-invasively 1.9% 16,489 $2.32M
A4605 Tracheal suction catheter, closed system, each 1.8% 10,114 $2.24M
A4353 Intermittent urinary catheter, with insertion supplies 1.4% 2,611 $1.73M
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 1.3% 5,610 $1.61M
A7000 Canister, disposable, used with suction pump, each 1.2% 36,161 $1.51M
A4624 Tracheal suction catheter, any type other than closed system, each 1.2% 11,755 $1.51M
A4554 Disposable underpads, all sizes 1.0% 43,776 $1.28M
A4629 Tracheostomy care kit for established tracheostomy 1.0% 14,591 $1.25M
T4532 Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each <1% 8,170 $1.19M
B9002 Enteral nutrition infusion pump, any type <1% 13,659 $1.10M
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% 2,894 $1.09M
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% 4,043 $1.01M
A7520 Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each <1% 12,503 $994K
A6209 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 7,530 $988K
A7521 Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each <1% 7,611 $965K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing <1% 47,595 $953K
T4522 Adult sized disposable incontinence product, brief/diaper, medium, each <1% 8,737 $893K
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% 3,551 $802K
A7526 Tracheostomy tube collar/holder, each <1% 20,932 $786K
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% 1,269 $767K
B4103 Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit <1% 4,105 $680K
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% 1,963 $637K
A7002 Tubing, used with suction pump, each <1% 35,954 $623K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape <1% 6,853 $605K
T4533 Youth sized disposable incontinence product, brief/diaper, each <1% 5,547 $593K
E0481 Intrapulmonary percussive ventilation system and related accessories <1% 1,002 $556K
T4521 Adult sized disposable incontinence product, brief/diaper, small, each <1% 5,074 $501K
T4523 Adult sized disposable incontinence product, brief/diaper, large, each <1% 4,276 $456K
T4530 Pediatric sized disposable incontinence product, brief/diaper, large size, each <1% 4,950 $439K
B4104 Additive for enteral formula (e.g., fiber) <1% 4,735 $404K
T4531 Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each <1% 3,381 $394K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each <1% 3,120 $341K
A4335 Incontinence supply; miscellaneous <1% 57,855 $285K
E0600 Respiratory suction pump, home model, portable or stationary, electric <1% 1,799 $276K
T4528 Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each <1% 1,690 $255K
A4927 Gloves, non-sterile, per 100 <1% 37,284 $255K
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each <1% 1,481 $255K
A4322 Irrigation syringe, bulb or piston, each <1% 18,052 $219K
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each <1% 1,621 $201K
E0601 Continuous positive airway pressure (cpap) device <1% 3,012 $196K
A6216 Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 44,223 $196K
A6212 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing <1% 969 $194K
A4628 Oral and/or oropharyngeal suction catheter, each <1% 31,871 $181K
A6234 Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 3,676 $179K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each <1% 5,449 $141K
A4217 Sterile water/saline, 500 ml <1% 2,883 $103K
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 31,970 $101K
E0776 Iv pole <1% 12,167 $85K
T4524 Adult sized disposable incontinence product, brief/diaper, extra large, each <1% 609 $82K
E0562 Humidifier, heated, used with positive airway pressure device <1% 4,794 $82K
A4402 Lubricant, per ounce <1% 18,077 $80K
A4623 Tracheostomy, inner cannula <1% 1,803 $77K
E0570 Nebulizer, with compressor <1% 1,196 $77K
A4481 Tracheostoma filter, any type, any size, each <1% 6,768 $73K
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% 426 $72K
B4100 Food thickener, administered orally, per ounce <1% 2,503 $61K
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml <1% 3,368 $56K
B4036 Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape <1% 459 $56K
K0003 Lightweight wheelchair <1% 947 $49K
E0565 Compressor, air power source for equipment which is not self-contained or cylinder driven <1% 1,424 $42K
A4450 Tape, non-waterproof, per 18 square inches <1% 19,015 $39K
E0260 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress <1% 497 $38K
A6257 Transparent film, sterile, 16 sq. in. or less, each dressing <1% 3,390 $36K
T4529 Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each <1% 640 $27K
A4344 Indwelling catheter, foley type, two-way, all silicone or polyurethane, each <1% 248 $26K
A7007 Large volume nebulizer, disposable, unfilled, used with aerosol compressor <1% 5,574 $25K
A7012 Water collection device, used with large volume nebulizer <1% 5,920 $25K
A7525 Tracheostomy mask, each <1% 10,453 $24K
A6250 Skin sealants, protectants, moisturizers, ointments, any type, any size <1% 4,985 $24K
A4357 Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each <1% 1,413 $21K
A7015 Aerosol mask, used with dme nebulizer <1% 15,675 $17K
A7010 Corrugated tubing, disposable, used with large volume nebulizer, 100 feet <1% 1,167 $16K
E0619 Apnea monitor, with recording feature <1% 94 $14K
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips <1% 852 $14K
A4452 Tape, waterproof, per 18 square inches <1% 945 $13K
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 1,228 $11K
A4338 Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each <1% 166 $11K
A6260 Wound cleansers, any type, any size <1% 1,005 $9K
A4456 Adhesive remover, wipes, any type, each <1% 945 $9K
A4371 Ostomy skin barrier, powder, per oz <1% 1,842 $8K
A4385 Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each <1% 56 $7K
B4081 Nasogastric tubing with stylet <1% 98 $7K
B4082 Nasogastric tubing without stylet <1% 147 $7K
A5120 Skin barrier, wipes or swabs, each <1% 713 $7K
A4483 Moisture exchanger, disposable, for use with invasive mechanical ventilation <1% 85 $6K
A9900 Miscellaneous dme supply, accessory, and/or service component of another hcpcs code <1% 496 $6K
A4369 Ostomy skin barrier, liquid (spray, brush, etc.), per oz <1% 1,824 $5K
E0630 Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) <1% 101 $5K
A4406 Ostomy skin barrier, pectin-based, paste, per ounce <1% 174 $4K
A5200 Percutaneous catheter/tube anchoring device, adhesive skin attachment <1% 98 $4K
A4250 Urine test or reagent strips or tablets (100 tablets or strips) <1% 507 $4K
A4259 Lancets, per box of 100 <1% 536 $3K
A4310 Insertion tray without drainage bag and without catheter (accessories only) <1% 158 $3K
A6258 Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing <1% 67 $3K
S8999 Resuscitation bag (for use by patient on artificial respiration during power failure or other catastrophic event) <1% 28 $3K
A4245 Alcohol wipes, per box <1% 1,249 $2K
A7038 Filter, disposable, used with positive airway pressure device <1% 301 $1K
A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable <1% 84 $1K
A6457 Tubular dressing with or without elastic, any width, per linear yard <1% 25 $961.32
L8501 Tracheostomy speaking valve <1% 13 $807.50
A7037 Tubing used with positive airway pressure device <1% 27 $487.22
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each <1% 28 $312.90
A4520 Incontinence garment, any type, (e.g., brief, diaper), each <1% 368 $133.01

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 officialZEHNDER, CAMEO (CAO)
Same official

Other billing entities under ZEHNDER, CAMEO

Full network →
ProviderLocationPaid
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RSVP Equipment of Greater Cincinnati, LLCCovington, KY$24.45M
Medic Home Health Care, LLCMayfield Village, OH$17.00M
Pediatric Home Respiratory Services LLCRoseville, MN$14.21M
Cherub Medical Supply, LLCLenexa, KS$6.26M
Mobile Medical Maintenance, LLCFort Wayne, IN$4.28M
Pulmonary Partners LLCCovington, KY$431K

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