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

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

Founders Healthcare, LLC (NPI 1063452829)

Field	Value
Entity Type	Organization
Organization	Founders Healthcare, LLC
Address	871 Grier Dr Ste C
City	Las Vegas
State	NV
ZIP	89119
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	June 8, 2006

Payer Source	Total Paid
Medicaid	$18.9M
Medicare	$0

Key Findings

FOUNDERS HEALTHCARE, LLC reports $18.9M in lifetime Medicaid revenue and has no Medicare billing on file; the operation is therefore effectively single-payer at scale and heavily dependent on Medicaid reimbursement for its business. This payer concentration means changes in state Medicaid coverage, reimbursement, or enrollment could meaningfully impact overall revenue.

The top 3 Medicaid codes account for 56.2% of the provider's total Medicaid revenue, driven by E0465 (6.4K claims, $787 avg paid/claim, $5.1M revenue; 29.4% of total), E1390 (110.9K claims, $32 avg paid/claim, $3.5M revenue; 20.6% of total), and E0570 (29.3K claims, $37 avg paid/claim, $1.1M revenue; 6.3% of total). This concentration in three respiratory-related codes indicates a narrow set of high-revenue service lines dominating the ledger.

The product and service mix is strongly respiratory-centric: major lines include home ventilators (E0465, E0466), oxygen concentrators and portable oxygen systems (E1390, E0431), CPAP/BiPAP and interfaces (E0601, E0470, A7030, A7031), nebulizers (E0570, A7005), and multiple tracheostomy supplies (A4624, A4605, A4629, A4623, A7526, A7520). High volumes across ventilators, oxygen concentrators, suction and tracheostomy supplies point to a DME operation focused on long-term respiratory support and related consumables rather than episodic orthotics or high-acuity equipment.

FOUNDERS ranks as a dominant statewide supplier for many items: E1390 ranks #1 of 37 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), E0570 ranks #1 of 34 providers (100th percentile; extreme outlier), and K0001 ranks #1 of 19 providers (100th percentile; extreme outlier). By contrast, E0465 ranks #1 of 2 providers (100th percentile; typical, unremarkable volume), showing dominance in some high-volume categories and a more limited competitive set in others.

The provider’s volume profile shows a high-volume, low-unit-price operational model for many lines: E1390 has 110.9K claims at $32 avg paid/claim yielding $3.5M, E0431 has 95.8K claims at $7 avg paid/claim yielding $670.8K, and E0601 has 45.7K claims at $14 avg paid/claim yielding $640K. These patterns are consistent with large-scale distribution/rental and frequent replacement or supply claims for home respiratory therapy rather than a low-claim, high-margin device sales model.

There is meaningful product diversification beyond respiratory DME, but at much smaller scale: enteral feeding supplies and formulas appear (B4035: 2.1K claims, $169 avg paid/claim, $353K revenue; B4161: 333 claims, $579 avg paid/claim, $192.8K revenue), indicating a secondary presence in enteral nutrition for pediatrics and pump-fed regimens. These non-respiratory lines contribute revenue but do not approach the concentration seen in the top respiratory codes.

The provider has long tenure in the NPI registry (NPI enumerated 2006-06-08 (~20 years ago)), suggesting an established operational footprint in Nevada. Coupled with the provider’s statewide rank leadership on numerous Medicaid codes, this tenure supports the interpretation of an entrenched DME respiratory supplier in the state market.

The business faces concentration risk from both payer and code dependence: Medicaid accounts for the provider’s recorded revenue ($18.9M) and the top three Medicaid codes represent 56.2% of that revenue. Operational or policy shifts affecting those specific respiratory codes or state Medicaid coverage could disproportionately affect revenue given the provider’s dominant exposure.

Medicaid: Complete Services Breakdown

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

96 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	6,440	$790	$5.1M
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	110,920	$30	$3.5M
E0570	Nebulizer, with compressor	29,330	$40	$1.1M
A4624	Tracheal suction catheter, any type other than closed system, each	4,740	$180	$872K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	95,830	$10	$670.8K
E0601	Continuous positive airway pressure (CPAP) device	45,710	$10	$640K
A7030	Full face mask used with positive airway pressure device, each	15,040	$40	$556.4K
A4605	Tracheal suction catheter, closed system, each	2,920	$180	$522.5K
A7526	Tracheostomy tube collar/holder, each	6,200	$80	$508K
A7520	Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each	6,250	$60	$368.5K

Showing 1–10 of 96

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nevada Distribution

Founders Healthcare, LLC — 21 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. Nevada median

96 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	1	10	4,750	$750	$3.5M
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…	3	10	250	$930	$905.7K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	6	10	3,440	$180	$673K
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,…	6	10	820	$360	$604.5K
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	4	10	850	$310	$571.8K
A4624	Tracheal suction catheter, any type other than closed system, each	1	10	2,610	$190	$486.4K
A4223	Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)	9	10	2,390	$80	$440.1K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	1	40	7,980	$30	$380.4K
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	6	10	1,320	$210	$366.1K
A4605	Tracheal suction catheter, closed system, each	1	10	1,900	$160	$255.2K

Showing 1–10 of 96

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Founders Healthcare, LLC	AZ	Durable Medical Equipment & Medical Supplies	$0	$66.9M
Founders Healthcare, LLC	AZ	Durable Medical Equipment & Medical Supplies	$0	$20.8M
Founders Healthcare, LLC	AZ	Durable Medical Equipment & Medical Supplies	$0	$8.9M
Founders Healthcare LLC	AZ	Durable Medical Equipment & Medical Supplies	$0	$7.5M
Founders Healthcare, LLC	CO	Durable Medical Equipment & Medical Supplies	$0	$5.4M
Founders Healthcare, LLC	NV	Durable Medical Equipment & Medical Supplies	$0	$1.9M

Nearby Providers

Other providers in the same ZIP code as Founders Healthcare, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quest Diagnostics Incorporated	NV	Clinical Medical Laboratory	$18.2M	$59.3M
Jed Adam Enterprises, LLC	NV	Home Health Agency	$0	$61.5M
Solace Pediatric Healthcare Nursing Services, Nv, LLC	NV	Home Health Agency	$0	$36.1M
Desert Springs Hospital	NV	General Acute Care Hospital	$0	$22.3M
A Better Way Home Care, LLC	NV	In Home Supportive Care Agency	$0	$14.7M
Absolute Personal Care,llc	NV	In Home Supportive Care Agency	$0	$11.3M
Accessible Space Inc.	NV	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$10.7M
Healthcare Partners Medical Group Coats Ltd.	NV	Family Medicine Physician	$0	$9.1M
Quality Health Partners Inc	NV	Health Service Clinic/Center	$0	$6.9M
Medical And Dental Center Of Nevada LLC	NV	Ambulatory Surgical Clinic/Center	$565.1K	$6M

Founders Healthcare, LLC — 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