Provider Plus, INC
Provider Plus, INC was paid $194K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is E0601, Continuous positive airway pressure (cpap) device — 31% of everything it billed.
O FALLON, MO 63368
Next to other Durable Medical Equipment & Medical Supplies providers in Missouri
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 | 187 | $3K | |
| 2019 | 793 | $14K | |
| 2020 | 1,069 | $23K | |
| 2021 | 1,278 | $22K | |
| 2022 | 1,407 | $18K | |
| 2023 | 3,449 | $47K | |
| 2024incomplete | 5,133 | $67K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E0601 | Continuous positive airway pressure (cpap) device | 31% | 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 | 19% | 1,787 | 1,537 | $38K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | 7.9% | 563 | 457 | $15K |
| A7030 | Full face mask used with positive airway pressure device, each | 7.9% | 472 | 385 | $15K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 7.3% | 1,211 | 1,009 | $14K |
| A7031 | Face mask interface, replacement for full face mask, each | 5.6% | 817 | 586 | $11K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 5.2% | 603 | 543 | $10K |
| A7035 | Headgear used with positive airway pressure device | 5.1% | 777 | 662 | $10K |
| A7038 | Filter, disposable, used with positive airway pressure device | 4.2% | 2,457 | 1,827 | $8K |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | 2.1% | 390 | 262 | $4K |
| K0003 | Lightweight wheelchair | 1.5% | 233 | 209 | $3K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | 1.1% | 413 | 340 | $2K |
7 more codes
| A7037 | Tubing used with positive airway pressure device | <1% | 76 | $1K |
| K0001 | Standard wheelchair | <1% | 77 | $711.20 |
| A7033 | Pillow for use on nasal cannula type interface, replacement only, pair | <1% | 14 | $425.84 |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | <1% | 44 | $337.87 |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | <1% | 30 | $150.64 |
| E0971 | Manual wheelchair accessory, anti-tipping device, each | <1% | 176 | $104.18 |
| E1392 | Portable oxygen concentrator, rental | <1% | 25 | $19.00 |
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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.