Provider Plus INC
Provider Plus INC was paid $584K by Medicaid between Jan 2018 and Nov 2024, across 26 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 40% of everything it billed.
SWANSEA, IL 62226
Next to other Durable Medical Equipment & Medical Supplies providers in Illinois
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 | 3,828 | $115K | |
| 2019 | 4,758 | $125K | |
| 2020 | 4,420 | $92K | |
| 2021 | 1,401 | $34K | |
| 2022 | 3,571 | $89K | |
| 2023 | 3,937 | $97K | |
| 2024incomplete | 1,608 | $33K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 40% | 4,044 | 3,858 | $231K |
| E0601 | Continuous positive airway pressure (cpap) device | 13% | 2,630 | 2,559 | $76K |
| A7030 | Full face mask used with positive airway pressure device, each | 8.1% | 1,028 | 995 | $47K |
| K0738 | Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing | 8.0% | 2,161 | 2,017 | $47K |
| A7031 | Face mask interface, replacement for full face mask, each | 5.1% | 1,531 | 1,473 | $30K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 4.7% | 2,123 | 2,048 | $28K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 3.1% | 1,237 | 1,215 | $18K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | 2.8% | 725 | 709 | $16K |
| A7035 | Headgear used with positive airway pressure device | 2.8% | 1,322 | 1,262 | $16K |
| K0001 | Standard wheelchair | 2.6% | 1,382 | 1,349 | $15K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | 1.8% | 339 | 335 | $10K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | 1.6% | 267 | 265 | $9K |
14 more codes
| E0250 | Hospital bed, fixed height, with any type side rails, with mattress | 1.5% | 711 | $9K |
| A7038 | Filter, disposable, used with positive airway pressure device | 1.1% | 1,614 | $7K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 364 | $5K |
| E0570 | Nebulizer, with compressor | <1% | 439 | $5K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 708 | $5K |
| A7037 | Tubing used with positive airway pressure device | <1% | 187 | $3K |
| E1392 | Portable oxygen concentrator, rental | <1% | 172 | $2K |
| E0630 | Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) | <1% | 40 | $2K |
| A7033 | Pillow for use on nasal cannula type interface, replacement only, pair | <1% | 51 | $1K |
| K0823 | Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds | <1% | 12 | $863.81 |
| E0971 | Manual wheelchair accessory, anti-tipping device, each | <1% | 138 | $448.28 |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | <1% | 12 | $418.26 |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | <1% | 231 | $373.74 |
| E1028 | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other | <1% | 55 | $176.73 |
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.