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

Joshua's Respiratory Care, INC

Joshua's Respiratory Care, INC was paid $11.74M by Medicaid between Jan 2020 and Dec 2024, across 54 billing codes. Its largest line is E0465, Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) — 14% of everything it billed.

33Billing provider infoJOSHUA'S RESPIRATORY CARE, INC
DALLAS, TX 75228
33aNPI1649353335assigned 10/24/2006
28Total paid$11.74M
24GClaims174,788
24DCodes billed54
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers

Next to other Parenteral & Enteral Nutrition Supplies (DME) providers in Texas

Rank by total paid#11 of 81
Median peer was paid$653K
This provider vs. median18×

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.

Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
20207,869$464K
202140,968$2.78M
202244,252$2.98M
202344,868$3.05M
2024incomplete36,831$2.47M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
E0465 Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) 14% 2,536 2,277 $1.69M
E0466 Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) 11% 1,765 1,715 $1.28M
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 9.6% 11,260 11,127 $1.12M
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 8.7% 4,862 4,659 $1.02M
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 8.3% 1,474 1,418 $974K
E0482 Cough stimulating device, alternating positive and negative airway pressure 5.7% 3,043 3,012 $675K
A4606 Oxygen probe for use with oximeter device, replacement 5.6% 27,000 6,625 $663K
B9998 Noc for enteral supplies 4.9% 8,167 6,246 $578K
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 4.5% 2,107 2,037 $532K
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 3.0% 1,270 1,185 $354K
E0445 Oximeter device for measuring blood oxygen levels non-invasively 2.4% 1,129 1,096 $279K
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 1.9% 1,378 1,105 $226K
42 more codes
A7520 Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each 1.9% 1,802 $226K
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) 1.7% 734 $203K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 1.7% 11,631 $198K
A4624 Tracheal suction catheter, any type other than closed system, each 1.5% 1,692 $173K
E1399 Durable medical equipment, miscellaneous 1.3% 1,071 $155K
A4605 Tracheal suction catheter, closed system, each 1.3% 1,240 $147K
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 1.2% 1,010 $142K
A7000 Canister, disposable, used with suction pump, each 1.1% 6,162 $134K
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 1.1% 452 $126K
A7526 Tracheostomy tube collar/holder, each <1% 3,425 $97K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" <1% 12,719 $94K
A4483 Moisture exchanger, disposable, for use with invasive mechanical ventilation <1% 1,152 $79K
A4629 Tracheostomy care kit for established tracheostomy <1% 1,147 $71K
A4554 Disposable underpads, all sizes <1% 2,328 $60K
A7002 Tubing, used with suction pump, each <1% 6,045 $54K
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml <1% 2,603 $47K
T4530 Pediatric sized disposable incontinence product, brief/diaper, large size, each <1% 627 $47K
B9002 Enteral nutrition infusion pump, any type <1% 272 $42K
A9900 Miscellaneous dme supply, accessory, and/or service component of another hcpcs code <1% 2,396 $41K
A4322 Irrigation syringe, bulb or piston, each <1% 4,791 $32K
A4628 Oral and/or oropharyngeal suction catheter, each <1% 11,864 $29K
T4522 Adult sized disposable incontinence product, brief/diaper, medium, each <1% 247 $23K
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 7,335 $20K
E0601 Continuous positive airway pressure (cpap) device <1% 389 $19K
A6216 Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 5,216 $16K
A4335 Incontinence supply; miscellaneous <1% 3,783 $15K
E0562 Humidifier, heated, used with positive airway pressure device <1% 993 $12K
A4927 Gloves, non-sterile, per 100 <1% 1,906 $10K
B4103 Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit <1% 83 $9K
T4532 Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each <1% 62 $9K
A4402 Lubricant, per ounce <1% 1,630 $7K
A7015 Aerosol mask, used with dme nebulizer <1% 5,037 $5K
B4104 Additive for enteral formula (e.g., fiber) <1% 39 $3K
E0570 Nebulizer, with compressor <1% 39 $3K
A4450 Tape, non-waterproof, per 18 square inches <1% 2,085 $3K
A7038 Filter, disposable, used with positive airway pressure device <1% 971 $2K
A4213 Syringe, sterile, 20 cc or greater, each <1% 1,206 $2K
A7037 Tubing used with positive airway pressure device <1% 95 $1K
A7525 Tracheostomy mask, each <1% 778 $975.94
A7013 Filter, disposable, used with aerosol compressor or ultrasonic generator <1% 1,416 $597.56
A4209 Syringe with needle, sterile 5 cc or greater, each <1% 312 $223.30
A5055 Stoma cap <1% 12 $17.03

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 officialBOSWELL, DONALD (PRESIDENT)