Specialized Medical Services, INC.
Specialized Medical Services, INC. was paid $2.08M by Medicaid between Jan 2018 and Jan 2022, across 6 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 — 59% of everything it billed.
NEW BERLIN, WI 53151
Next to other Oxygen Equipment & Supplies (DME) providers in Wisconsin
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 | 14,323 | $978K | |
| 2019 | 10,665 | $586K | |
| 2020 | 6,931 | $386K | |
| 2021 | 1,915 | $124K | |
| 2022 | 72 | $5K |
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 | 59% | 17,049 | 14,846 | $1.22M |
| E0434 | Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing | 19% | 10,860 | 10,067 | $397K |
| E0442 | Stationary oxygen contents, liquid, 1 month's supply = 1 unit | 10% | 4,952 | 4,329 | $213K |
| E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | 9.2% | 228 | 219 | $191K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 1.4% | 581 | 524 | $28K |
| E0439 | Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing | 1.2% | 236 | 210 | $26K |
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
| Provider | Location | Paid |
|---|---|---|
| Founders Healthcare, LLC | Phoenix, AZ | $4.02M |
| Lincare INC. | Durham, NC | $3.22M |
| Med 4 Home INC. | Kansas City, MO | $2.50M |
| Lincare INC. | Anderson, IN | $1.75M |
| Lincare INC. | Longview, WA | $1.71M |
| Lincare INC. | Chantilly, VA | $1.25M |
| Lincare INC. | Newtown, CT | $1.15M |
| Lincare INC | Memphis, TN | $849K |
| Lincare INC. | Rutland, VT | $751K |
| Health Care Solutions at Home INC. | New Philadelphia, OH | $606K |
| Lincare INC. | Aurora, MO | $590K |
| Lincare INC. | Glasgow, KY | $583K |
| Lincare INC. | Lenoir City, TN | $546K |
| Lincare INC. | Traverse City, MI | $514K |
| Lincare INC. | Oswego, NY | $428K |
| Lincare INC. | Norton, VA | $394K |
| Lincare INC. | Marianna, FL | $266K |
| Lincare INC. | Ithaca, NY | $264K |
| Founders Healthcare, LLC | Prescott Valley, AZ | $253K |
| Lincare INC. | Portville, NY | $250K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.