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

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

Founders Healthcare, LLC (NPI 1386688414)

Field	Value
Entity Type	Organization
Organization	Founders Healthcare, LLC
Address	4602 E Hammond Lane
City	Phoenix
State	AZ
ZIP	85034
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	June 16, 2006

Payer Source	Total Paid
Medicaid	$66.9M
Medicare	$0

Key Findings

FOUNDERS HEALTHCARE, LLC operates as a durable medical equipment and medical supplies provider with a pronounced emphasis on respiratory support and mobility/incontinence supplies; its top-revenue Medicaid codes include E1390 (oxygen concentrators), E0465/E0466 (home ventilators, invasive and non-invasive), E0445 (oximeters), and multiple incontinence and wheelchair codes, indicating a mix of durable respiratory equipment, consumable supplies, and mobility devices in its core service lines.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue (E1390, E0465, T4534) account for 45.1% of the provider's Medicaid revenue, with E1390 alone representing $15.6M or 32.1% of the $66.9M total Medicaid revenue, showing heavy dependence on oxygen concentrator billing.

This entity is effectively a single-payer Medicaid supplier on file — there is no Medicare billing reported and total Medicaid revenue is $66.9M — so analyses of utilization, contracting leverage, and risk exposure should be focused on Medicaid activity rather than Medicare.

FOUNDERS is a dominant statewide player for many product lines: E1390 ranks #1 of 52 providers in-state at the 100th percentile and is flagged an extreme outlier, and multiple other codes (including E0431, K0001, E0143, E0260) are also #1 in-state at the 100th percentile or labeled extreme outliers, signaling market-leading volume across several DME categories in Arizona.

The provider’s billing profile mixes very high-volume, low-unit-pay items with lower-volume, high-unit-pay items. Examples include very large claim counts such as E1390 with 363.7K claims and E0431 with 292.4K claims at an $8 avg paid/claim, alongside higher average-paid items like A4353 at $531 avg paid/claim and A4352 at $431 avg paid/claim, indicating a combined business model of high-throughput consumables/rentals plus higher-cost specialized supplies.

Several key codes place this provider well above typical state volumes: beyond the extreme outlier status of E1390 and E0431, codes such as T4534, E0445, E0466, A4351, K0001, and many others are ranked #1 of their peer sets and described as notably above typical state volume, which supports characterization of FOUNDERS as a major in-state supplier across multiple DME subsegments.

While some ventilator codes show more modest relative standing (for example, E0465 is $3.6M and ranks #2 of 5 providers in-state at the 75th percentile), the overall mix still includes substantial ventilator revenue ($3.6M for E0465 and $2.3M for E0466), underscoring that both invasive and non-invasive home ventilator services are material components of the operation.

The provider has long tenure in the NPI registry (enumerated 2006-06-16, ~20 years ago), which, combined with its concentrated Medicaid revenue base and multiple #1 state ranks, suggests an established operational footprint in Arizona Medicaid DME supply that is likely to attract payer attention for contracting, network management, and utilization oversight given its outsized share on several codes.

Medicaid: Complete Services Breakdown

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

244 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	363,740	$40	$15.6M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	7,330	$490	$3.6M
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	41,970	$70	$2.7M
E0445	Oximeter device for measuring blood oxygen levels non-invasively	11,500	$210	$2.4M
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	6,630	$350	$2.3M
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	292,390	$10	$2.3M
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	18,700	$120	$2.3M
K0001	Standard wheelchair	125,290	$20	$1.9M
T4530	Pediatric sized disposable incontinence product, brief/diaper, large size, each	53,600	$30	$1.8M
A4353	Intermittent urinary catheter, with insertion supplies	3,050	$530	$1.6M

Showing 1–10 of 244

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arizona Distribution

Founders Healthcare, LLC — 22 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. Arizona median

244 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	10	4,650	$200	$3.1M
E2402	Negative pressure wound therapy electrical pump, stationary or portable	2	10	450	$310	$3M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	2	10	2,640	$480	$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,…	3	10	2,270	$70	$1.6M
A4353	Intermittent urinary catheter, with insertion supplies	2	10	220	$720	$1.5M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	2	10	910	$80	$1.2M
B9998	Noc for enteral supplies	2	10	290	$50	$811.5K
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	1	10	1,160	$430	$794.5K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	1	50	3,350	$50	$730.5K
K0108	Wheelchair component or accessory, not otherwise specified	5	10	1,630	$170	$689.1K

Showing 1–10 of 244

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America Holdings	NC	Clinical Medical Laboratory	$214.6M	$1.4B
Laboratory Corporation Of America Holdings	NJ	Clinical Medical Laboratory	$143.3M	$717.5M
Natera, Inc.	CA	Clinical Medical Laboratory	$133.1M	$641.5M
Unilab Corporation	CA	Clinical Medical Laboratory	$94M	$668.5M
Bioreference Health, LLC	NJ	Clinical Medical Laboratory	$66.8M	$620.1M
Laboratory Corporation Of America Holdings	OH	Clinical Medical Laboratory	$56.9M	$617M
Millennium Health, LLC	CA	Clinical Medical Laboratory	$20.4M	$579.3M
Exact Sciences Laboratories, LLC	WI	Clinical Medical Laboratory	$299.3M	$276.5M
Aeroflow Inc.	NC	Durable Medical Equipment & Medical Supplies	$0	$571.9M
Zoll Services LLC	PA	Durable Medical Equipment & Medical Supplies	$0	$503.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sonora Quest Laboratories LLC	AZ	Clinical Medical Laboratory	$57.8M	$298.1M
Ability360, Inc,	AZ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$274M
City Of Phoenix Arizona	AZ	Paramedic	$4.9M	$138.9M
Comtrans	AZ	Non-emergency Medical Transport (VAN)	$0	$40.1M
Phi Health, L.L.C.	AZ	Air Ambulance	$3.6M	$35.7M
F.a.c.t.s. Behavioral Health	AZ	Community/Behavioral Health Agency	$0	$21.3M
Pathology Specialist Of Arizona, LLP	AZ	Anatomic Pathology & Clinical Pathology Physician	$0	$16.7M
Apogee Mental Health Services	AZ	Behavior Analyst	$0	$12.4M
Empact - Suicide Prevention Center	AZ	Community/Behavioral Health Agency	$0	$11.2M
Physician Group Of Arizona Inc	AZ	Specialist	$0	$10.8M

Founders Healthcare, LLC — Billing Profile & Reimbursement Data

Sign up for Founders Healthcare, LLC — Billing Profile & Reimbursement Data policy alerts

Founders Healthcare, LLC — Billing Profile & Reimbursement Data

Sign up for Founders Healthcare, LLC — Billing Profile & Reimbursement Data policy alerts

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