Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PROVIDER PLUS, INC

NPI: 1699759027 · O FALLON, MO 63368 · Durable Medical Equipment & Medical Supplies · NPI assigned 11/30/2005

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official RUSSALESI, WENDY controls 20+ related entities in our dataset. Read more

$194K
Total Medicaid Paid
13,316
Total Claims
10,921
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSALESI, WENDY (CCO)
NPI Enumeration Date11/30/2005

Related Entities

Other providers sharing the same authorized official: RUSSALESI, WENDY

ProviderCityStateTotal Paid
MED STAR SURGICAL & BREATHING EQUIPMENT INC. BRONX NY $138.92M
ADAPTHEALTH PATIENT CARE SOLUTIONS LLC BEAVER PA $93.56M
LIFEHME, INC. COLUMBIA SC $45.59M
OCEAN HOME HEALTH SUPPLY, LLC LAKEWOOD NJ $28.09M
ROCKY MOUNTAIN MEDICAL EQUIPMENT, INC. LAKEWOOD CO $26.94M
PAL-MED, LLC COLUMBIA SC $26.18M
FLETCHER'S MEDICAL SUPPLIES, INC. JACKSONVILLE FL $17.46M
ROBERTS HOME MEDICAL LLC GERMANTOWN MD $17.42M
COMMUNITY SURGICAL SUPPLY OF TOMS RIVER LLC TOMS RIVER NJ $16.94M
FIRST CHOICE HOME MEDICAL EQUIPMENT, LLC NEW CASTLE DE $16.92M
CAPE MEDICAL SUPPLY LLC SANDWICH MA $15.74M
ROCKY MOUNTAIN MEDICAL EQUIPMENT LLC COLORADO SPRINGS CO $15.44M
ROBERTS HOME MEDICAL LLC NORTH CHESTERFIELD VA $13.12M
TRICOUNTY MEDICAL EQUIPMENT AND SUPPLY, LLC PHILADELPHIA PA $13.09M
HEALTH COMPLEX MEDICAL LLC WATERBURY CT $13.03M
KEENE MEDICAL PRODUCTS, LLC ENFIELD NH $10.37M
RESPIRATORY HOME CARE OF BRISTOL, LLC CHATTANOOGA TN $10.11M
WECARE MEDICAL, LLC ASHLAND KY $9.90M
AIRWAY OXYGEN INC WYOMING MI $8.28M
AMERICAN ANCILLARIES, INC. LAS VEGAS NV $8.00M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 187 $3K
2019 793 $14K
2020 1,069 $23K
2021 1,278 $22K
2022 1,407 $18K
2023 3,449 $47K
2024 5,133 $67K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E0601 Continuous positive airway pressure (cpap) device 3,151 2,779 $60K
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 1,787 1,537 $38K
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap 563 457 $15K
A7030 Full face mask used with positive airway pressure device, each 472 385 $15K
A4604 Tubing with integrated heating element for use with positive airway pressure device 1,211 1,009 $14K
A7031 Face mask interface, replacement for full face mask, each 817 586 $11K
E0562 Humidifier, heated, used with positive airway pressure device 603 543 $10K
A7035 Headgear used with positive airway pressure device 777 662 $10K
A7038 Filter, disposable, used with positive airway pressure device 2,457 1,827 $8K
A7032 Cushion for use on nasal mask interface, replacement only, each 390 262 $4K
K0003 Lightweight wheelchair 233 209 $3K
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each 413 340 $2K
A7037 Tubing used with positive airway pressure device 76 68 $1K
K0001 Standard wheelchair 77 73 $711.20
A7033 Pillow for use on nasal cannula type interface, replacement only, pair 14 14 $425.84
K0195 Elevating leg rests, pair (for use with capped rental wheelchair base) 44 36 $337.87
E0143 Walker, folding, wheeled, adjustable or fixed height 30 24 $150.64
E0971 Manual wheelchair accessory, anti-tipping device, each 176 85 $104.18
E1392 Portable oxygen concentrator, rental 25 25 $19.00