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

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

Advanced Respiratory, Inc. (NPI 1053357905)

Field	Value
Entity Type	Organization
Organization	Advanced Respiratory, Inc.
Address	1020 County Road F W
City	Saint Paul
State	MN
ZIP	55126
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	June 21, 2006

Payer Source	Total Paid
Medicaid	$204.3M
Medicare	$0

Key Findings

ADVANCED RESPIRATORY, INC. has no Medicare billing on file and reports $204.3M in lifetime Medicaid revenue, making it effectively a single‑payer (Medicaid) supplier at scale rather than a mixed Medicare/Medicaid operator. The absence of Medicare activity should shape comparisons and risk assessments around Medicaid policy and state-level contracting rather than Medicare fee-schedule dynamics.

Revenue is highly concentrated: the provider's top three Medicaid codes account for 97.3% of its Medicaid revenue. Those codes are E0483 ($176.7M, 86.5% of Medicaid revenue), E0482 ($13.8M, 6.7%), and E1399 ($8.4M, 4.1%), indicating virtually all revenue flows through a very small set of service lines.

The code mix and volumes indicate a core business built around airway clearance and home respiratory support: E0483 (high frequency chest wall oscillation system) is the primary revenue driver, supported by E0482 (cough stimulating device) and E0466 (home ventilator) activity. E1399 (durable medical equipment, miscellaneous) also contributes, suggesting use of unlisted or bundled DME items to support respiratory equipment deployments.

State-level competitive standing is strong for core respiratory codes: the provider ranks #1 of 3 in-state for E0483 and E0482 (100th percentile) and #1 of 13 for E0466 (100th percentile), indicating it is a dominant in-state supplier of these specific respiratory devices. For E1399 it ranks #5 of 25 in-state (mid-to-high percentile), so it is a meaningful but not exclusive player in unlisted DME categories.

E0466 is flagged as an “extreme outlier, far above typical state volume” and the provider reported 19.9K claims and $5.1M revenue on that code. That outlier status suggests unusually high market share or specialized contracting for home ventilators within the state and warrants closer review of utilization drivers and payer arrangements.

Operational throughput is concentrated and high-volume for the lead code: E0483 shows 224.8K claims, which, combined with its $786 avg paid/claim, drives the overwhelming share of Medicaid revenue. Secondary codes show lower claim counts (E0482 35.3K claims, E1399 6.2K claims) but still account for material dollar amounts due to higher per-claim payments in some cases.

The extreme concentration on a few Medicaid respiratory codes creates financial and operational exposure: with 97.3% of Medicaid revenue tied to the top three codes and no Medicare revenue, the provider’s cash flow and business stability are sensitive to state Medicaid coverage, reimbursement changes, or competitive shifts affecting E0483/E0482/E1399. Payers should prioritize monitoring policy or audit changes specific to these HCPCS codes.

The provider has an established presence, with NPI enumeration dated 2006-06-21 (~20 years ago), which supports the interpretation of sustained, long-term participation in the state Medicaid DME market and may reflect enduring contractual or referral relationships that underpin the large respiratory volumes.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E0483	High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each	224,810	$790	$176.7M
E0482	Cough stimulating device, alternating positive and negative airway pressure	35,280	$390	$13.8M
E1399	Durable medical equipment, miscellaneous	6,210	$1,350	$8.4M
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	19,940	$260	$5.1M
A9900	Miscellaneous dme supply, accessory, and/or service component of another hcpcs code	1,070	$130	$138.8K
A9999	Miscellaneous dme supply or accessory, not otherwise specified	1,470	$60	$92.7K
A7020	Interface for cough stimulating device, includes all components, replacement only	6,650	$10	$86.4K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Minnesota Distribution

Advanced Respiratory, Inc. — 4 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E0483	High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each	1	10	127,960	$650	$88.1M
E0482	Cough stimulating device, alternating positive and negative airway pressure	1	10	7,590	$380	$5.6M
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	1	10	1,020	$540	$1.5M
A9999	Miscellaneous dme supply or accessory, not otherwise specified	9	10	3,400	$20	$848.6K
E1399	Durable medical equipment, miscellaneous	5	30	1,910	$240	$809.3K
A9900	Miscellaneous dme supply, accessory, and/or service component of another hcpcs code	2	10	1,070	$60	$65K
A7020	Interface for cough stimulating device, includes all components, replacement only	1	10	5,250	$10	$62.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America Holdings	NC	Clinical Medical Laboratory	$214.6M	$1.4B
Laboratory Corporation Of America Holdings	NJ	Clinical Medical Laboratory	$143.3M	$717.5M
Natera, Inc.	CA	Clinical Medical Laboratory	$133.1M	$641.5M
Unilab Corporation	CA	Clinical Medical Laboratory	$94M	$668.5M
Bioreference Health, LLC	NJ	Clinical Medical Laboratory	$66.8M	$620.1M
Laboratory Corporation Of America Holdings	OH	Clinical Medical Laboratory	$56.9M	$617M
Millennium Health, LLC	CA	Clinical Medical Laboratory	$20.4M	$579.3M
Exact Sciences Laboratories, LLC	WI	Clinical Medical Laboratory	$299.3M	$276.5M
Aeroflow Inc.	NC	Durable Medical Equipment & Medical Supplies	$0	$571.9M
Zoll Services LLC	PA	Durable Medical Equipment & Medical Supplies	$0	$503.8M

Nearby Providers

Other providers in the same ZIP code as Advanced Respiratory, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Circle Of Life Home Care Anishinaabe, LLC	MN	Home Health Agency	$0	$184.6M
Critical Care Services, Inc	MN	Air Ambulance	$4.3M	$21.2M
Fairview Pharmacy Services LLC	MN	Home Infusion Therapy Pharmacy	$72.8K	$20M
Brandy Utter	MN	Family Medicine Physician	$82.7K	$0
Cynthia Frane	MN	Family Medicine Physician	$49.2K	$0

Advanced Respiratory, Inc. — Billing Profile & Reimbursement Data

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Advanced Respiratory, 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