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    OpenPayerNPI Medicare & MedicaidCompression Health Care Inc
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    Compression Health Care Inc — Billing Profile & Reimbursement Data

    NPI 1013934694 · Ponce, PR · Oxygen Equipment & Supplies (DME)

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    Compression Health Care Inc is a oxygen equipment & supplies (dme) provider located in Ponce, Puerto Rico. This profile covers 0 Medicare and 60 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCompression Health Care Inc
    Address8185 Calle Concordia
    CityPonce
    StatePR
    ZIP00717
    TaxonomyOxygen Equipment & Supplies (DME)
    NPI EnumeratedJuly 17, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$10.6M
    Medicare$0

    Key Findings

    This provider is effectively a Medicaid-focused DME supplier: there is no Medicare billing on file and lifetime Medicaid revenue is $10.6M, indicating a single-payer footprint concentrated on state Medicaid business rather than Medicare markets. The NPI was enumerated on 2006-07-17 (~20 years ago), so the provider has an established, long-tenured presence in the Puerto Rico Medicaid DME ecosystem.

    The code mix shows a clear clinical focus on respiratory support and oxygen delivery alongside home medical equipment and enteral nutrition supplies. High-revenue and high-volume codes include E0465 (home ventilator), E0601 (CPAP device), E1390 (oxygen concentrator), E0424 (stationary compressed gaseous oxygen system rental) and multiple positive airway pressure accessories (E0562, A7030, A7034), which together reflect an operational emphasis on long-term respiratory device provisioning and rental-based oxygen solutions.

    Revenue is moderately concentrated in a small set of respiratory codes: the precomputed top three Medicaid codes account for 37.1% of this provider’s total Medicaid revenue, led by E0465 ($1.4M, 14.5%), E0601 ($1.2M, 12.2%), and E1390 ($1M, 10.4%). This concentration indicates that roughly one-third of Medicaid revenue is driven by a narrow set of ventilatory and oxygen-supply lines, so changes in reimbursement or utilization for these codes would disproportionately affect overall revenue.

    Competitive standing varies by code: the provider ranks #1 of 6 in-state for E0424 and is described as notably above typical state volume for that code, signaling a local leadership position in stationary compressed gaseous oxygen rentals. For other high-revenue respiratory codes the provider is a strong but not dominant peer—for example, it ranks #2 of 6 for E0465 (80th percentile) and #2 of 7 for E0601—positions consistent with being a meaningful regional competitor rather than a statewide monopolist.

    Operational scale is reflected in very high claim volumes for some supply codes, suggesting wide distribution and recurring supply relationships: E0601 shows 22.8K claims and E0562 shows 26.9K claims, while E1390 has 14.8K claims. Those large claim counts for CPAP devices and related humidifiers imply substantial ongoing servicing, accessory provisioning, and replacement activity rather than one-off capital sales.

    The provider manages both rental-dominant and pump/sale-dominant lines: rental-oriented codes show material revenue (E0424 $987.8K; E0431 $149.7K; E1392 $102.5K) while owned-device and supply codes also contribute meaningfully (B4035 $527.5K; B9002 $327.7K). The mix of rentals and consumable/replaceable items is typical for a full-service home respiratory and enteral DME operation and suggests multiple revenue streams tied to long-term patient use.

    Most of the high-volume and high-revenue codes are characterized as typical, unremarkable volume for the state peer group (for example, E0465, E0601, E1390, and many accessory codes are noted as typical), which indicates that while the provider has significant throughput, its utilization patterns largely mirror state norms rather than representing extreme outlier activity. The one clear statistical outlier in the data is E0424—ranked #1 and labeled notably above typical—so the provider’s most distinctive strength is in stationary compressed gaseous oxygen rentals.

    There are niche leadership pockets beyond oxygen rentals: A7520 (tracheostomy/laryngectomy tube) is ranked #1 of 2 in-state (100th percentile) but labeled typical, unremarkable in volume, highlighting that small provider pools can produce top ranks without implying broad dominance across larger code classes. Analysts should interpret rank and percentile signals in the context of small in-state provider counts and the accompanying plain-English volume labels when assessing competitive leverage.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    60 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    E0465Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)1,270$1,130$1.4M
    E0601Continuous positive airway pressure (CPAP) device22,770$50$1.2M
    E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate14,750$70$1M
    E0424Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing10,620$90$987.8K
    E0260Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress9,400$70$620.5K
    B4035Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape4,250$120$527.5K
    E0471Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive…1,470$320$474.2K
    E0562Humidifier, heated, used with positive airway pressure device26,940$20$458K
    A7030Full face mask used with positive airway pressure device, each3,530$110$378K
    B9002Enteral nutrition infusion pump, any type3,770$90$327.7K

    Showing 1–10 of 60

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Puerto Rico providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Puerto Rico median

    60 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    E0465Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)210910$660$560.6K
    A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips9102,070$50$324.8K
    E1399Durable medical equipment, miscellaneous210530$330$276.4K
    E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate3101,670$40$261.6K
    E0601Continuous positive airway pressure (CPAP) device2101,480$20$242.9K
    E0424Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing110130$80$231.7K
    B4035Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape2101,860$80$197.4K
    E0260Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress3101,530$20$180.8K
    E0471Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive…3101,470$80$132.5K
    E0445Oximeter device for measuring blood oxygen levels non-invasively2101,810$70$123.1K

    Showing 1–10 of 60

    Nearby Providers

    Other providers in the same ZIP code as Compression Health Care Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Caribbean Imaging And Radiation Treatment Center,incPRMulti-Specialty Clinic/Center$0$19.3M
    Caribbean Cancer Care Services, LLCPRMedical Oncology Physician$0$6.5M
    Oficina Medica Dr Quintero PscPRSpecialist$0$4.9M
    Pet Diagnostic Imaging CorpPRRadiology Clinic/Center$0$4.8M
    Hector Velez CortesPRHematology & Oncology Physician$4.3K$4M
    Centro Oncologico De La Mujer De Puerto Rico CspPROncology Clinic/Center$0$3.8M
    Caribbean Wellness Oncology, PscPRHematology & Oncology Physician$0$3.6M
    Jose Santiago AlvaradoPRAnatomic Pathology & Clinical Pathology Physician$17.2K$3.2M
    Dr German Chaves Radiologo CspPRDiagnostic Radiology Physician$0$2.9M
    Lydia Irizarry GonzalezPRPediatric Endocrinology Physician$0$2.6M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Puerto Rico Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Puerto Rico Distribution
    Compression Health Care Inc — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico