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    OpenPayerNPI Medicare & MedicaidProdigy Medical, LLC
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    Prodigy Medical, LLC — Billing Profile & Reimbursement Data

    NPI 1073551131 · Homer, AK · Oxygen Equipment & Supplies (DME)

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    Prodigy Medical, LLC is a oxygen equipment & supplies (dme) provider located in Homer, Alaska. This profile covers 0 Medicare and 24 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationProdigy Medical, LLC
    Address4107 Hohe St
    CityHomer
    StateAK
    ZIP99603
    TaxonomyOxygen Equipment & Supplies (DME)
    NPI EnumeratedJune 2, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$1.5M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A7030Full face mask used with positive airway pressure device, each1,670$120$200.5K
    A7034Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap1,920$80$148.1K
    E0601Continuous positive airway pressure (CPAP) device1,810$80$140.8K
    L4361Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf570$240$137.7K
    E0570Nebulizer, with compressor2,150$60$137.3K
    L3670Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf630$140$86.1K
    L3908Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf1,020$80$80.6K
    A7035Headgear used with positive airway pressure device2,860$30$77.2K
    A4604Tubing with integrated heating element for use with positive airway pressure device1,970$40$74.9K
    A7031Face mask interface, replacement for full face mask, each1,660$40$69.6K

    Showing 1–10 of 24

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Alaska median

    24 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate5102,210$80$452.6K
    E0601Continuous positive airway pressure (CPAP) device6101,780$60$186.3K
    L4361Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf110570$240$137.5K
    A7030Full face mask used with positive airway pressure device, each310630$100$134K
    A7034Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap310680$70$89.4K
    E1392Portable oxygen concentrator, rental610560$20$72.3K
    A4604Tubing with integrated heating element for use with positive airway pressure device5101,090$40$71.7K
    A7031Face mask interface, replacement for full face mask, each3101,150$40$66.2K
    L3908Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf110180$150$65.5K
    E0562Humidifier, heated, used with positive airway pressure device810330$70$63.2K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prodigy Medical, LLCAKOxygen Equipment & Supplies (DME)$0$862.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    South Peninsula Hospital, IncAKCritical Access Hospital$0$30.1M
    South Peninsula Behavioral Health Services IncAKCommunity/Behavioral Health Agency$0$21.6M
    Seldovia Village TribeAKFederally Qualified Health Center (FQHC)$0$10.1M
    South Peninsula Behavioral Health Svcs IncAKRespite Care$0$4.4M
    South Peninsula Hospital, Inc.AKCritical Access Hospital$0$2.7M
    James Bourne Dds PCAKDentist$0$1.4M
    Michael ConnorsAKOptometrist$0$1.4M
    Homer Eyecare LLCAKOptometrist$0$1.2M
    Homer Senior Citizens, Inc.AKAssisted Living Facility$0$1.2M
    Zank Center, LLCAKSpeech-Language Pathologist$0$1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Alaska Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Alaska Distribution
    Prodigy Medical, LLC — 6 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alaska