Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › VA › Pennington Gap › NPI 1841230653
Supplier

Southern Home Respiratory & Equipment, INC.

Southern Home Respiratory & Equipment, INC. was paid $1.25M by Medicaid between Jan 2018 and Dec 2024, across 29 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 — 41% of everything it billed.

33Billing provider infoSOUTHERN HOME RESPIRATORY & EQUIPMENT, INC.
PENNINGTON GAP, VA 24277
33aNPI1841230653assigned 06/08/2006
28Total paid$1.25M
24GClaims44,403
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Virginia

Rank by total paid#31 of 229
Median peer was paid$17K
This provider vs. median76×

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 RUSSALESI, WENDY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
20182,795$66K
20195,309$140K
20207,234$217K
20217,363$191K
20226,297$143K
20238,464$229K
2024incomplete6,941$268K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 41% 13,773 10,928 $512K
E0466 Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) 12% 254 209 $149K
E0601 Continuous positive airway pressure (cpap) device 8.6% 3,403 2,762 $108K
A7030 Full face mask used with positive airway pressure device, each 7.5% 1,704 1,578 $94K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 5.3% 7,457 6,407 $66K
E0570 Nebulizer, with compressor 4.2% 2,228 2,068 $52K
A4604 Tubing with integrated heating element for use with positive airway pressure device 3.7% 1,709 1,602 $47K
E0562 Humidifier, heated, used with positive airway pressure device 3.2% 1,427 1,240 $41K
A7031 Face mask interface, replacement for full face mask, each 3.0% 1,780 1,550 $38K
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) 1.9% 308 256 $24K
E0260 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress 1.8% 638 532 $22K
A7035 Headgear used with positive airway pressure device 1.7% 1,591 1,490 $21K
17 more codes
E1392 Portable oxygen concentrator, rental 1.5% 851 $19K
K0001 Standard wheelchair 1.4% 1,110 $18K
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap <1% 290 $11K
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each <1% 1,027 $9K
K0195 Elevating leg rests, pair (for use with capped rental wheelchair base) <1% 709 $6K
A7038 Filter, disposable, used with positive airway pressure device <1% 3,205 $5K
A7032 Cushion for use on nasal mask interface, replacement only, each <1% 188 $3K
A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable <1% 238 $3K
E0143 Walker, folding, wheeled, adjustable or fixed height <1% 45 $1K
A7037 Tubing used with positive airway pressure device <1% 194 $1K
K0002 Standard hemi (low seat) wheelchair <1% 21 $895.25
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips <1% 16 $670.05
E0971 Manual wheelchair accessory, anti-tipping device, each <1% 50 $361.94
E0443 Portable oxygen contents, gaseous, 1 month's supply = 1 unit <1% 45 $314.98
A7033 Pillow for use on nasal cannula type interface, replacement only, pair <1% 17 $172.82
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 113 $169.35
A7015 Aerosol mask, used with dme nebulizer <1% 12 $12.12

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 officialRUSSALESI, WENDY (CCO)
Parent organizationAEROCARE HOLDINGS LLC
Same official

Other billing entities under RUSSALESI, WENDY

Full network →
ProviderLocationPaid
Med Star Surgical & Breathing Equipment INC.Bronx, NY$138.92M
Adapthealth Patient Care Solutions LLCBeaver, PA$93.56M
Lifehme, INC.Columbia, SC$45.59M
Ocean Home Health Supply, LLCLakewood, NJ$28.09M
Rocky Mountain Medical Equipment, INC.Lakewood, CO$26.94M
Pal-Med, LLCColumbia, SC$26.18M
Fletcher's Medical Supplies, INC.Jacksonville, FL$17.46M
Roberts Home Medical LLCGermantown, MD$17.42M
Community Surgical Supply of Toms River LLCToms River, NJ$16.94M
First Choice Home Medical Equipment, LLCNew Castle, DE$16.92M
Cape Medical Supply LLCSandwich, MA$15.74M
Rocky Mountain Medical Equipment LLCColorado Springs, CO$15.44M
Roberts Home Medical LLCNorth Chesterfield, VA$13.12M
Tricounty Medical Equipment and Supply, LLCPhiladelphia, PA$13.09M
Health Complex Medical LLCWaterbury, CT$13.03M
Keene Medical Products, LLCEnfield, NH$10.37M
Respiratory Home Care of Bristol, LLCChattanooga, TN$10.11M
Wecare Medical, LLCAshland, KY$9.90M
Airway Oxygen INCWyoming, MI$8.28M
American Ancillaries, INC.Las Vegas, NV$8.00M

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