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NPI 1053364695 · Mokena, IL · Durable Medical Equipment & Medical Supplies
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Midwest Medical Equipment Solutions, Inc. is a durable medical equipment & medical supplies provider located in Mokena, Illinois. This profile covers 0 Medicare and 35 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Midwest Medical Equipment Solutions, Inc. |
| Address | 19015 S Jodi Rd Ste A |
| City | Mokena |
| State | IL |
| ZIP | 60448 |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| NPI Enumerated | May 17, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $25.7M |
| Medicare | $0 |
This provider effectively operates as a single-payer Medicaid supplier: there is no Medicare billing on file and all recorded lifetime federal payment is from Medicaid totaling $25.7M. Analysts should treat Medicaid as the material payer when assessing utilization, contracting, and network exposure for this NPI.
Revenue is highly concentrated in a few codes: the precomputed top three Medicaid codes (E0603, E0570, A4670) account for 68.5% of the provider's total Medicaid revenue. Those three codes are E0603 at $11.1M (43.1%), E0570 at $4.5M (17.5%), and A4670 at $2M (7.9%), indicating the business is driven by a narrow set of product lines.
The code mix points to a dual operational focus on lactation supplies and respiratory durable medical equipment. E0603 (breast pump, electric) and related items such as K1005 and A4287 reflect a high-volume lactation supply operation, while E0570 (nebulizer) plus high volumes of A7005, A7000, A7015, and A7002 indicate a large respiratory DME and consumables fulfillment business; A4670 (automatic blood pressure monitor) signals an additional emphasis on home monitoring devices.
The provider is a dominant statewide supplier for several high-revenue codes: E0603 ranks #1 of 26 providers in-state (100th percentile; extreme outlier), E0570 ranks #1 of 126 providers (100th percentile; extreme outlier), and A4670 ranks #1 of 52 providers (100th percentile; extreme outlier). These rank/percentile positions imply market leadership in breast pumps, nebulizers, and automatic blood pressure monitors within Illinois.
Claim volumes show a fulfillment-heavy model with frequent, low-unit payments across many consumable lines: E0603 had 100.6K claims, E0570 53.4K claims, A7005 54.5K claims, A7000 54.5K claims, A7015 54.3K claims, and A7002 54.4K claims. The combination of very high claim counts and modest average paid/claim for many items is consistent with recurring distribution of disposable or short-lifecycle supplies rather than one-time prosthetic fits.
Multiple Medicaid codes for this provider are flagged as statistical outliers in the state data, reinforcing a specialized profile rather than a broad-based DME mix: several top codes (E0603, E0570, A4670, A7005, A7000, A7015, A7002) are described as extreme outliers and L0621 is noted as notably above typical state volume. Those labels indicate this supplier operates at volumes far above usual peers for those specific items.
Orthotics and brace codes contribute nontrivial secondary revenue and show mixed competitiveness: L0621 contributed $1.3M (5.2%) and ranks #1 of 5 providers in-state (100th percentile; notably above typical state volume), while L8310 brought $745.8K (2.9%) and ranks #1 of 1 providers in-state (no state peer volume comparison available). These figures suggest a meaningful, but smaller, orthotics/brace line complementing the core lactation and respiratory offerings.
The NPI was enumerated on 2006-05-17 (~20 years ago), indicating long tenure in the market. For payers and contracting teams this longevity plus concentrated Medicaid revenue exposure around a few dominant codes suggests established supplier relationships and potential negotiation leverage focused on the E0603 and respiratory DME lines.
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
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 |
|---|---|---|---|---|
| E0603 | Breast pump, electric (ac and/or dc), any type | 100,560 | $110 | $11.1M |
| E0570 | Nebulizer, with compressor | 53,370 | $80 | $4.5M |
| A4670 | Automatic blood pressure monitor | 32,330 | $60 | $2M |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | 54,520 | $30 | $1.4M |
| L0621 | Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf | 21,030 | $60 | $1.3M |
| K1005 | Disposable collection and storage bag for breast milk, any size, any type, each | 31,570 | $40 | $1.2M |
| A7000 | Canister, disposable, used with suction pump, each | 54,470 | $20 | $817K |
| L8310 | Truss, double with standard pads | 6,270 | $120 | $745.8K |
| A4287 | Disposable collection and storage bag for breast milk, any size, any type, each | 14,950 | $40 | $523.4K |
| A7002 | Tubing, used with suction pump, each | 54,440 | $10 | $326.6K |
Showing 1–10 of 35
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
35 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A4335 | Incontinence supply; miscellaneous | 3 | 10 | 6,910 | $20 | $4.9M |
| T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | 6 | 10 | 1,060 | $70 | $1.3M |
| E0603 | Breast pump, electric (ac and/or dc), any type | 1 | 30 | 650 | $100 | $786K |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | 16 | 20 | 870 | $70 | $775.9K |
| L8310 | Truss, double with standard pads | 1 | 10 | 6,270 | $120 | $748.6K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 61 | 90 | 1,400 | $80 | $727.1K |
| T4541 | Incontinence product, disposable underpad, large, each | 49 | 130 | 2,190 | $50 | $644.7K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 41 | 80 | 1,230 | $100 | $639.8K |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | 23 | 30 | 590 | $50 | $618.8K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 52 | 80 | 1,340 | $80 | $616.4K |
Showing 1–10 of 35
Other providers in the same ZIP code as Midwest Medical Equipment Solutions, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Wheelchair Sales & Service, Inc. | IL | Durable Medical Equipment & Medical Supplies | $0 | $4.4M |
| Vital Ambulance Services LLC | IL | Ambulance | $650.2K | $1.9M |
| Clinical Laboratory Inc | IL | Clinical Medical Laboratory | $2.3M | $170 |
| Southwest Surgery Center, LLC | IL | Clinic/Center | $1.7M | $0 |
| Joseph Stella | IL | Interventional Cardiology Physician | $643.1K | $2.8K |
| Kenneth Finkelstein | IL | Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician | $86K | $395.8K |
| Daniel Seeber | IL | Occupational Therapist | $226.2K | $135.3K |
| Robert Sulo | IL | Internal Medicine Physician | $215K | $0 |
| Christopher Udovich | IL | Family Medicine Physician | $120.3K | $21.4K |
| Jeffrey Schiappa | IL | Family Medicine Physician | $103.1K | $0 |
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