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

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

Medco Respiratory Instruments, Inc. (NPI 1093789901)

Field	Value
Entity Type	Organization
Organization	Medco Respiratory Instruments, Inc.
Address	9331 Hwy 6 N
City	Houston
State	TX
ZIP	77095
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	February 15, 2006

Payer Source	Total Paid
Medicaid	$171.5M
Medicare	$0

Key Findings

This entity is effectively a Medicaid-specialized durable medical equipment and supplies provider: there is no Medicare billing on file and total Medicaid revenue reported is $171.5M. The NPI was enumerated on 2006-02-15 (~20 years ago), indicating an established presence in the market focused almost entirely on Medicaid payers rather than a mixed Medicare/Medicaid revenue base.

Revenue concentration is high: the precomputed top three Medicaid codes account for 51.6% of the provider's total Medicaid revenue. Those top three are B4161 ($31.8M, 20.6% of Medicaid revenue, 55.9K claims), B4035 ($25.1M, 16.3% of Medicaid revenue, 126.8K claims), and B4160 ($22.5M, 14.6% of Medicaid revenue, 114.4K claims), showing that a small set of enteral-related lines drives the majority of receipts.

The code mix indicates a core business in pediatric enteral nutrition and high-volume enteral supply distribution: multiple top codes are enteral formulas (B4161, B4160, B4153, B4149, B4155, B4150) and feeding supply kits (B4035, B4034), alongside supporting items like infusion pumps (B9002) and incontinence products. High claim counts (for example, B4035 126.8K claims and A4554 169.7K claims) combined with mid-range average paid/claim amounts (e.g., B4035 $198 avg, B4161 $569 avg) are consistent with an operation built for volume distribution and supply logistics.

The provider is a dominant statewide supplier for many enteral and related DME lines: several codes rank at the top statewide, including B4035 (rank #1 of 64 providers, 100th percentile; extreme outlier) and B4034 (rank #1 of 46 providers, 100th percentile; extreme outlier), as well as B9002 (rank #1 of 36 providers, 100th percentile; extreme outlier). Multiple other enteral formula codes also hold #1 ranks (e.g., B4153, B4149, B4155, B4150) or top-percentile positions, signaling that this provider is a major market participant for enteral nutrition in Texas.

Several supply and respiratory lines extend the provider's footprint beyond enteral products: incontinence products (A4554 with 169.7K claims, $5.1M revenue, rank #3 of 361 providers, 99th percentile) and oxygen equipment and home ventilators (E1390 $1.3M revenue, rank #13 of 254, 95th percentile; E0465 $2.4M revenue, rank #6 of 25, 79th percentile) indicate a diversified DME catalog that captures high-volume consumables and some durable respiratory devices.

There are notable statistical outlier signals in the statewide comparison that suggest concentration in specific lines: codes flagged as “extreme outlier” include B4035 (100th percentile), B9998 (137.5K claims, $10M revenue, rank #1 of 56 providers, 100th percentile; extreme outlier), and multiple enteral formula or kit codes that also rank #1. Conversely, the two largest single-code revenues by dollar (B4161 and B4160) are described as 98th-percentile but labeled ‘typical, unremarkable volume,’ which indicates that high absolute revenue does not always coincide with an outlier classification in the peer context.

Operational and payer-mix implications: the firm’s scale is built on very high claim volumes for low-to-moderate per-claim payments across consumable supplies (e.g., A4554 $30 avg paid/claim, B4034 $88 avg paid/claim) and higher per-unit payments for certain formulas (e.g., B4161 $569 avg paid/claim). Because there is no Medicare billing on file, strategic, regulatory, and reimbursement exposure will be concentrated in Medicaid policy changes and state program decisions rather than Medicare policy shifts.

Medicaid: Complete Services Breakdown

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

128 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	55,870	$570	$31.8M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	126,800	$200	$25.1M
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,…	114,430	$200	$22.5M
B9998	Noc for enteral supplies	137,520	$70	$10M
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	70,950	$100	$7.2M
B4153	Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	7,230	$880	$6.4M
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	18,850	$320	$6M
A4554	Disposable underpads, all sizes	169,690	$30	$5.1M
B4155	Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium…	24,180	$200	$4.9M
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	22,530	$160	$3.6M

Showing 1–10 of 128

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Medco Respiratory Instruments, Inc. — 22 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

128 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	2	40	2,180	$270	$7.2M
B4162	Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an…	3	10	1,520	$310	$5.2M
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,…	2	50	2,810	$150	$3.2M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	6	30	1,590	$720	$2.1M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	1	60	2,520	$210	$1.8M
A4353	Intermittent urinary catheter, with insertion supplies	12	40	1,010	$540	$1.3M
B4153	Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	1	20	630	$1,010	$1.2M
B9998	Noc for enteral supplies	1	60	4,690	$90	$1.1M
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	1	30	1,100	$360	$977.3K
B4155	Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium…	1	30	1,340	$250	$771.4K

Showing 1–10 of 128

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medco Respiratory Instruments, Inc	ME	Durable Medical Equipment & Medical Supplies	$0	$4.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Harris County Emergency Services District 9	TX	Ambulance	$1.4M	$3M
Basil Kaaki	TX	Physician Assistant	$81.2K	$0
Juan Zambrano	TX	Allergy & Immunology Physician	$20K	$0

Medco Respiratory Instruments, Inc. — Billing Profile & Reimbursement Data

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Medco Respiratory Instruments, 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