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

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

Specialized Homecare Inc (NPI 1073680799)

Field	Value
Entity Type	Organization
Organization	Specialized Homecare Inc
Address	1535 Highwood E
City	Pontiac
State	MI
ZIP	48340
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	November 29, 2006

Payer Source	Total Paid
Medicaid	$26.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

77 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	11,600	$820	$9.5M
E1399	Durable medical equipment, miscellaneous	4,580	$420	$1.9M
S8189	Tracheostomy supply, not otherwise classified	11,130	$160	$1.7M
A4624	Tracheal suction catheter, any type other than closed system, each	8,880	$160	$1.4M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	8,180	$160	$1.3M
A4606	Oxygen probe for use with oximeter device, replacement	6,860	$180	$1.3M
E0445	Oximeter device for measuring blood oxygen levels non-invasively	3,720	$280	$1M
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	8,690	$120	$1M
A4649	Surgical supply; miscellaneous	8,120	$90	$763.6K
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	1,240	$550	$683.5K

Showing 1–10 of 77

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Michigan Distribution

Specialized Homecare Inc — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. Michigan median

77 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	980	$790	$2.5M
A4927	Gloves, non-sterile, per 100	6	30	610	$10	$1.3M
E1399	Durable medical equipment, miscellaneous	3	20	500	$460	$1.2M
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…	4	10	1,060	$450	$1.1M
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	9	30	400	$550	$816.8K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	39	170	3,410	$70	$473.6K
99503	A licensed respiratory therapist or other non physician provider provides respiratory therapy in the patient’s home.	2	10	2,800	$150	$415.9K
E0445	Oximeter device for measuring blood oxygen levels non-invasively	2	20	650	$200	$397.3K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	4	50	450	$140	$348.3K
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	30	1,010	$150	$347.2K

Showing 1–10 of 77

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Steven Binder	MI	Foot & Ankle Surgery Podiatrist	$29.8K	$0

Specialized Homecare Inc — Billing Profile & Reimbursement Data

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Specialized Homecare Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References