Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Illinois for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Illinois only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Illinois (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Home Medical Express Inc. (NPI 1033142484)

Field	Value
Entity Type	Organization
Organization	Home Medical Express Inc.
Address	853 N Church Ct
City	Elmhurst
State	IL
ZIP	60126
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	July 9, 2006

Payer Source	Total Paid
Medicaid	$22M
Medicare	$0

Key Findings

This provider is effectively single-payer in the available claims universe: Total Medicare revenue is none (no Medicare billing on file) while Total Medicaid revenue is $22M, indicating the business operates almost entirely within Medicaid for the observed period. Analysts should treat Medicaid as the primary commercial lens for evaluating volume, revenue mix, and competitive positioning.

Revenue is heavily concentrated in a small set of codes: the top 3 Medicaid codes (E1390, E0601, A7030) account for 48.2% of this provider's total Medicaid revenue. Specifically, E1390 accounts for $4.3M (20.5%), E0601 for $3.9M (18.9%), and A7030 for $1.8M (8.8%), so nearly half of Medicaid dollars flow from oxygen concentrators, CPAP devices, and full-face CPAP masks.

The code mix and dollar-weighted leaders point to a core business in respiratory DME and sleep-disordered breathing supplies: E1390 (oxygen concentrator), E0601 (CPAP device), and a long list of accessory/interface codes (A7030, A7031, A7032, A7033, A7034, A7035, A7038, A7046) together show a vertically deep product set for home respiratory therapy and recurring consumables. High counts such as E0601 at 83.4K claims and A7038 at 67.1K claims further suggest a volume-driven model with substantial recurring supply spend.

State-level competitive standing is dominant for core CPAP and accessory codes: E0601 ranks #1 of 136 providers in-state (100th percentile; extreme outlier), A7030 ranks #1 of 102 providers in-state (100th percentile; extreme outlier), and multiple accessory codes (A7031, A7032, A7033, A7034, A7035, A7038, A7046) also rank #1 with 100th-percentile labels. E1390 is a similarly large outlier by volume, ranking #3 of 195 providers in-state (99th percentile; extreme outlier), confirming this provider is a top statewide supplier in both devices and interfaces.

There is measurable provision of higher-acuity respiratory equipment alongside CPAP: E0470 ($1.2M, 5.5%) and E0466 ($908.5K, 4.4%) indicate sales/rentals of bi-level respiratory assist devices and home ventilators, and E0471 is present as well ($307.1K, 1.5%). While some ventilator codes are not top-ranked statewide (E0466 ranks #13 of 44, 72th percentile; characterized as typical), they nonetheless contribute materially to the provider’s service mix and revenue base.

The provider’s pattern shows a breadth of both high-volume consumables and higher-priced durable items: large-claim, low-unit-price items (e.g., A7038 at $5 avg paid/claim, 67.1K claims) sit alongside fewer-claim, high-unit-price durables (e.g., E0466 at $490 avg paid/claim, 1.9K claims). This mix implies a business model capturing recurring revenue from disposable/replacement parts while also supporting more capital-intensive home respiratory equipment.

Several codes are explicitly labeled as extreme outliers relative to in-state peers, which is a neutral statistical fact that should guide market and utilization review: examples include E0601, A7030, A7034, A7032 and others at 100th percentile (extreme outlier, far above typical state volume), while a subset of codes like E0466 and B4152 are described as typical or unremarkable in volume. These contrasting patterns—concentrated, extreme volumes for CPAP and accessories versus typical volumes for some ventilator and enteral items—are important for benchmarking quality, logistics, and supply-chain planning.

Operational tenure and identity are consistent with an established DME supplier: NPI enumerated 2006-07-09 (~20 years ago) and the taxonomy is Oxygen Equipment & Supplies (DME) based in ELMHURST, IL. The longevity combined with the concentrated Medicaid footprint suggests an entrenched regional operator with scale in respiratory and sleep-apnea product lines within Illinois.

Medicaid: Complete Services Breakdown

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

79 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	54,630	$80	$4.3M
E0601	Continuous positive airway pressure (CPAP) device	83,380	$50	$3.9M
A7030	Full face mask used with positive airway pressure device, each	23,820	$80	$1.8M
E0562	Humidifier, heated, used with positive airway pressure device	61,940	$30	$1.5M
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…	9,460	$120	$1.2M
A4604	Tubing with integrated heating element for use with positive airway pressure device	35,910	$30	$933.7K
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	1,850	$490	$908.5K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	16,670	$50	$816.6K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	44,400	$10	$621.7K
A7031	Face mask interface, replacement for full face mask, each	21,610	$30	$583.4K

Showing 1–10 of 79

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Illinois Distribution

Home Medical Express Inc. — 18 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

79 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	19	30	2,590	$110	$1.4M
A4624	Tracheal suction catheter, any type other than closed system, each	7	10	780	$270	$823.3K
E0603	Breast pump, electric (ac and/or dc), any type	21	30	650	$100	$786K
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	13	40	860	$450	$660.3K
B4154	Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or…	13	20	640	$130	$556.1K
A6212	Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing	8	10	2,260	$70	$523.1K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	3	200	1,950	$90	$492K
A6252	Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing	6	10	520	$50	$442.4K
A4385	Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each	9	10	340	$40	$428.7K
A6253	Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing	6	10	330	$100	$365.1K

Showing 1–10 of 79

Related Providers

Other providers that share a Tax Identification Number (TIN) with Home Medical Express Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Mobility Specialists Inc	MS	Customized Equipment (DME)	$0	$13.8M

Nearby Providers

Other providers in the same ZIP code as Home Medical Express Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Superior Air-ground Ambulance Service, Inc	IL	Land Ambulance	$16.1M	$90.5M
Shield - Denver Health Care Center, Inc.	IL	Parenteral & Enteral Nutrition Supplies (DME)	$0	$100.7M
Rehabtech Supply, LLC	IL	Durable Medical Equipment & Medical Supplies	$0	$89M
Trilab, LLC	IL	Clinical Medical Laboratory	$718K	$19.3M
Total Spectrum, LLC	IL	Behavior Analyst	$0	$8.5M
Alvaro Candel	IL	Anatomic Pathology & Clinical Pathology Physician	$61.8K	$6.4M
Saad Ahmad	IL	Ophthalmology Physician	$3.3M	$2.4M
Mohamed Adenwalla	IL	Ophthalmology Physician	$2.3M	$2.4M
Aaron Weinberg	IL	Retina Specialist (Ophthalmology) Physician	$3.3M	$1.2M
Kevin Patel	IL	Ophthalmology Physician	$2.3M	$589K

Home Medical Express Inc. — Billing Profile & Reimbursement Data

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Home Medical Express Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References