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 Pennsylvania for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Pennsylvania 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. Pennsylvania (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.

Apria Healthcare LLC (NPI 1053329722)

Field	Value
Entity Type	Organization
Organization	Apria Healthcare LLC
Address	678 Elmwood Ave
City	Sharon Hill
State	PA
ZIP	19079
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	August 4, 2006

Payer Source	Total Paid
Medicaid	$7.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

35 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	5,510	$450	$2.5M
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	32,230	$60	$1.9M
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	730	$640	$470.5K
E0601	Continuous positive airway pressure (CPAP) device	9,300	$40	$325.4K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	2,740	$100	$282K
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	700	$360	$255.6K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	15,620	$10	$187.5K
A7030	Full face mask used with positive airway pressure device, each	2,030	$60	$124K
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	8,230	$10	$115.2K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	2,550	$40	$99.4K

Showing 1–10 of 35

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

Apria Healthcare LLC — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

35 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	3	40	720	$490	$915.2K
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	14	30	490	$190	$874.5K
B9998	Noc for enteral supplies	8	20	640	$220	$845K
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	7	20	180	$470	$766.9K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	5	160	2,820	$70	$484.6K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	11	40	1,050	$130	$467.9K
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	21	40	450	$90	$267.7K
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	12	20	740	$80	$211.1K
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include…	15	30	470	$100	$201.8K
A7030	Full face mask used with positive airway pressure device, each	24	110	660	$80	$173K

Showing 1–10 of 35

Related Providers

Other providers that share a Tax Identification Number (TIN) with Apria Healthcare LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Apria Healthcare LLC	IN	Durable Medical Equipment & Medical Supplies	$0	$176.1M
Apria Healthcare LLC	CO	Durable Medical Equipment & Medical Supplies	$0	$13.4M
Apria Healthcare LLC	CO	Durable Medical Equipment & Medical Supplies	$0	$11.8M
Apria Healthcare LLC	OR	Durable Medical Equipment & Medical Supplies	$0	$9.4M
Apria Healthcare LLC	MA	Durable Medical Equipment & Medical Supplies	$0	$8.6M
Apria Healthcare LLC	CO	Durable Medical Equipment & Medical Supplies	$0	$7.7M
Apria Healthcare LLC	VA	Durable Medical Equipment & Medical Supplies	$0	$7.5M
Apria Healthcare LLC	CO	Durable Medical Equipment & Medical Supplies	$0	$7.3M
Apria Healthcare LLC	IL	Durable Medical Equipment & Medical Supplies	$0	$7M
Apria Healthcare LLC	WA	Durable Medical Equipment & Medical Supplies	$0	$6.7M

Apria Healthcare LLC — Billing Profile & Reimbursement Data

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Apria Healthcare LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References