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    OpenPayerNPI Medicare & MedicaidPulmonary Care Services Inc
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    Pulmonary Care Services Inc — Billing Profile & Reimbursement Data

    NPI 1124125349 · Anniston, AL · Durable Medical Equipment & Medical Supplies

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    Pulmonary Care Services Inc is a durable medical equipment & medical supplies provider located in Anniston, Alabama. This profile covers 0 Medicare and 34 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
    OrganizationPulmonary Care Services Inc
    Address730 Leighton Ave
    CityAnniston
    StateAL
    ZIP36207
    TaxonomyDurable Medical Equipment & Medical Supplies
    NPI EnumeratedSeptember 20, 2006

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

    Payer SourceTotal Paid
    Medicaid$8M
    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.

    34 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    E0465Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)3,160$750$2.4M
    S8189Tracheostomy supply, not otherwise classified2,100$460$967.9K
    E0466Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)1,970$480$948.1K
    A4624Tracheal suction catheter, any type other than closed system, each3,120$290$908.2K
    E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate10,550$80$875.6K
    E0445Oximeter device for measuring blood oxygen levels non-invasively2,890$130$363.9K
    A7509Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each2,630$110$296.7K
    E0619Apnea monitor, with recording feature1,250$220$279.8K
    A7526Tracheostomy tube collar/holder, each3,390$60$200.1K
    E0482Cough stimulating device, alternating positive and negative airway pressure400$390$158K

    Showing 1–10 of 34

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Alabama median

    34 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    E0465Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)2103,160$770$1.8M
    S8189Tracheostomy supply, not otherwise classified2104,560$400$1.8M
    A4624Tracheal suction catheter, any type other than closed system, each2101,890$430$1.2M
    A7509Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each2102,630$210$759.4K
    E0445Oximeter device for measuring blood oxygen levels non-invasively2102,890$120$634.5K
    A4606Oxygen probe for use with oximeter device, replacement2106,310$50$345.9K
    E0466Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)220460$280$202.4K
    A7526Tracheostomy tube collar/holder, each2102,400$60$193.8K
    A4628Oral and/or oropharyngeal suction catheter, each2103,370$60$185.1K
    E0565Compressor, air power source for equipment which is not self-contained or cylinder driven2101,650$40$122.9K

    Showing 1–10 of 34

    Nearby Providers

    Other providers in the same ZIP code as Pulmonary Care Services Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pediatrics Plus, P.C.ALPediatric Nurse Practitioner$0$14.3M
    Anniston Pediatrics, IncALPediatrics Physician$0$5.7M
    The Health Care Authority Of The City Of AnnistonALGeneral Acute Care Hospital$0$5.6M
    Grow Pediatric Therapy LLCALSpeech-Language Pathologist$0$2.3M
    Angela M. Martin, M.d. F.a.a.p.ALPediatrics Physician$0$2.1M
    Robert ConryALHematology & Oncology Physician$2.1M$0
    North Alabama Women's CenterALSpecialist$0$1.9M
    Vishala ChindaloreALRheumatology Physician$1.7M$0
    Regional Health Management CorporationALPsychiatry Physician$0$1.6M
    New Beacon Healthcare Group, LLCALCommunity Based Hospice Care Agency$0$1.5M

    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.

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    Medicaid Revenue by Year vs. Alabama Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Alabama Distribution
    Pulmonary Care Services Inc — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama