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

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

Resp-i-care, Inc. (NPI 1396720108)

Field	Value
Entity Type	Organization
Organization	Resp-i-care, Inc.
Address	648 Eastern Star Rd
City	Kingsport
State	TN
ZIP	37663
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	December 14, 2005

Payer Source	Total Paid
Medicaid	$6.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

60 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	86,460	$30	$2.2M
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	4,980	$160	$787.3K
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	1,300	$420	$543.9K
E0601	Continuous positive airway pressure (CPAP) device	22,280	$20	$445.7K
A7030	Full face mask used with positive airway pressure device, each	12,680	$30	$405.8K
A7031	Face mask interface, replacement for full face mask, each	16,280	$10	$227.8K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	37,680	$10	$188.4K
A4604	Tubing with integrated heating element for use with positive airway pressure device	14,250	$10	$185.2K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	8,220	$20	$164.4K
E0562	Humidifier, heated, used with positive airway pressure device	6,070	$30	$163.8K

Showing 1–10 of 60

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

Resp-i-care, Inc. — 13 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

60 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…	15	20	2,380	$330	$2.3M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	7	10	1,300	$500	$1.1M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	22	30	3,000	$90	$961.2K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	1	150	8,400	$30	$342.7K
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	3	50	410	$210	$248.6K
A7507	Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each	5	10	2,390	$50	$179.8K
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	22	30	1,570	$30	$161.8K
A4624	Tracheal suction catheter, any type other than closed system, each	11	10	910	$90	$161.4K
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include…	21	30	610	$30	$143.4K
E0445	Oximeter device for measuring blood oxygen levels non-invasively	8	10	1,240	$70	$120K

Showing 1–10 of 60

Nearby Providers

Other providers in the same ZIP code as Resp-i-care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Blue Ridge Medical Managgement Corporation	TN	Internal Medicine Physician	$0	$2.2M
Warren Jones	TN	Family Medicine Physician	$132.5K	$0
Priscilla Henry	TN	Family Nurse Practitioner	$41.1K	$0
Gary Wilson	TN	Anesthesiology Physician	$11.5K	$0
Katherine Nehemy	TN	Certified Registered Nurse Anesthetist	$9.7K	$0

Resp-i-care, Inc. — Billing Profile & Reimbursement Data

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Resp-i-care, 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