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

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

Children's Home Medical Equipment Inc (NPI 1376620815)

Field	Value
Entity Type	Organization
Organization	Children's Home Medical Equipment Inc
Address	4448 Edgewater Dr
City	Orlando
State	FL
ZIP	32804
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	November 1, 2006

Payer Source	Total Paid
Medicaid	$52.3M
Medicare	$0

Key Findings

This provider is effectively single-payer: there is no Medicare billing on file while the provider reports $52.3M in lifetime Medicaid revenue, indicating its operational scale is concentrated in the Medicaid market rather than balanced across Medicare and Medicaid. The absence of Medicare activity suggests the business model and customer base are focused on populations covered by Medicaid in Florida.

Revenue is highly concentrated in a small set of Medicaid codes: B4161 ($6.5M, 13.5%), B4035 ($6.5M, 13.4%), and E0465 ($5.5M, 11.4%) together account for 38.3% of the provider’s total Medicaid revenue, identifying these three codes as the primary revenue drivers. These top codes point to where payers should focus utilization and contract review for this supplier.

The code mix and descriptions indicate a dual service-line specialization in pediatric enteral nutrition and complex respiratory equipment. High-revenue nutrition codes such as B4161 and B4149 and high-volume respiratory and oxygen codes such as E0465 and E1390 signal that the operation supplies both long-term enteral feeding products and ventilators/oxygen systems, along with associated pumps and consumables.

Competitive standing in-state is dominant for several product lines: E0465, B4149, B9002, E0445, B9998, B4088, and A4629 each rank #1 among in-state peers and are described as extreme outliers, indicating the provider is a leading supplier statewide for invasive ventilators, blenderized enteral formulas, infusion pumps, oximeters, noc enteral supplies, low-profile feeding tubes, and tracheostomy care kits. These #1 ranks and 100th-percentile designations imply the provider is a primary vendor for complex respiratory and enteral niche products in Florida.

Operational footprint shows very large claim volumes for supply and equipment items, consistent with a distribution and rental model: examples include B9002 (44.6K claims), B4035 (29.2K claims), E0445 (33.3K claims), E0431 (30.4K claims), and B9998 (30.7K claims). The combination of high claim counts and comparatively modest avg paid/claim on some consumables indicates scale in routine supply distribution as well as in higher-acuity device rentals.

Several codes carry relatively high average payments per claim, reflecting higher-cost, clinically complex services: B4161 has $810 avg paid/claim, E0465 has $656 avg paid/claim, and B4153 has $903 avg paid/claim. These higher per-claim rates for enteral formulas and ventilators underscore the cost impact of the provider’s top service lines on Medicaid spend.

The provider shows a clear pediatric orientation within its case mix: B4161 is explicitly an enteral formula code “for pediatrics,” and pediatric-specific items appear elsewhere in the top codes (e.g., T4530 pediatric disposable briefs), pointing to a specialization in pediatric home medical equipment and nutrition support. Payers reviewing pediatric case management, care coordination, and bundled payment opportunities should take this pediatric concentration into account.

The NPI tenure indicates a long-established presence: NPI enumerated 2006-11-01 (~20 years ago), which supports the observed high volumes and top in-state rankings as the outcome of sustained market participation. This longevity suggests established operational capacity and relationships within the Florida Medicaid ecosystem, relevant for network contracting and oversight considerations.

Medicaid: Complete Services Breakdown

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

72 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…	8,080	$810	$6.5M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	29,210	$220	$6.5M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	8,420	$660	$5.5M
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	28,810	$140	$4.1M
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	8,350	$410	$3.4M
B9002	Enteral nutrition infusion pump, any type	44,620	$70	$3.3M
E0445	Oximeter device for measuring blood oxygen levels non-invasively	33,250	$80	$2.8M
B9998	Noc for enteral supplies	30,710	$80	$2.4M
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,…	9,970	$240	$2.3M
A4624	Tracheal suction catheter, any type other than closed system, each	9,020	$230	$2M

Showing 1–10 of 72

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Florida Distribution

Children's Home Medical Equipment Inc — 11 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. Florida median

72 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…	3	30	1,790	$670	$1.8M
A4353	Intermittent urinary catheter, with insertion supplies	20	20	620	$450	$1.2M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	1	30	1,450	$520	$775K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	54	60	2,140	$60	$601K
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,…	4	50	1,820	$180	$550K
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	20	400	$690	$542.2K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	2	60	2,250	$110	$520.7K
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	20	550	$350	$501.6K
A4554	Disposable underpads, all sizes	22	80	3,420	$30	$414K
A9900	Miscellaneous dme supply, accessory, and/or service component of another hcpcs code	15	40	1,210	$90	$379.8K

Showing 1–10 of 72

Nearby Providers

Other providers in the same ZIP code as Children's Home Medical Equipment Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peds To Go Inc	FL	Infusion Therapy Registered Nurse	$0	$106.5M
Crystal Lake Supportive Environments	FL	Behavior Analyst	$0	$73.5M
Total Renal Care Inc	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$15.9M
Family First Homecare, LLC	FL	Nursing Care Agency	$0	$9.1M
Orlando Surgery Center, LLC	FL	Ambulatory Surgical Clinic/Center	$1.5M	$0
Samuel Martin	FL	Surgery Physician	$825K	$0
Total Sleep Management Inc	FL	Sleep Disorder Diagnostic Clinic/Center	$373.4K	$325.1K
Hugo Hart	FL	Surgery Physician	$541.3K	$0
Michael Shumski	FL	Ophthalmology Physician	$497.7K	$0
Rishi Sharma	FL	General Practice Physician	$450.5K	$0

Children's Home Medical Equipment 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

Nearby Providers

Frequently Asked Questions

References