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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMed Star Surgical & Breathing Equipment Inc.
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    Med Star Surgical & Breathing Equipment Inc. — Billing Profile & Reimbursement Data

    NPI 1437154010 · Bronx, NY · Durable Medical Equipment & Medical Supplies

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    Med Star Surgical & Breathing Equipment Inc. is a durable medical equipment & medical supplies provider located in Bronx, New York. This profile covers 0 Medicare and 254 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
    OrganizationMed Star Surgical & Breathing Equipment Inc.
    Address1185 Commerce Ave
    CityBronx
    StateNY
    ZIP10462
    TaxonomyDurable Medical Equipment & Medical Supplies
    NPI EnumeratedJune 20, 2005

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

    Payer SourceTotal Paid
    Medicaid$139.1M
    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.

    254 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate257,500$50$13.9M
    A4554Disposable underpads, all sizes439,340$30$11.9M
    T4523Adult sized disposable incontinence product, brief/diaper, large, each180,930$50$8.7M
    E0466Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)13,400$500$6.7M
    T4522Adult sized disposable incontinence product, brief/diaper, medium, each167,910$30$5.5M
    E0603Breast pump, electric (ac and/or dc), any type33,070$160$5.2M
    T4524Adult sized disposable incontinence product, brief/diaper, extra large, each90,390$60$5.1M
    E0601Continuous positive airway pressure (CPAP) device110,560$50$5M
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each324,180$20$4.9M
    E0143Walker, folding, wheeled, adjustable or fixed height105,970$30$3.4M

    Showing 1–10 of 254

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New York median

    254 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    E0784External ambulatory infusion pump, insulin4101,480$2,330$3.8M
    A9276Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply13101,330$350$3.2M
    A4230Infusion set for external insulin pump, non needle cannula type4104,040$220$2.1M
    A9277Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system10101,400$470$1.4M
    E0466Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)230600$360$698.4K
    K0553Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service1140270$120$600.5K
    A4554Disposable underpads, all sizes12701,960$40$584.4K
    T4523Adult sized disposable incontinence product, brief/diaper, large, each12201,050$80$575.4K
    E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate11303,290$60$564.9K
    T4543Adult sized disposable incontinence product, protective brief/diaper, above extra large, each260850$160$522K

    Showing 1–10 of 254

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    Nearby Providers

    Other providers in the same ZIP code as Med Star Surgical & Breathing Equipment Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Amazing Home Care Services LLCNYHome Health Agency$0$576.3M
    Family Wellness Program, LLCNYHome Health Agency$0$319.5M
    Amazing Home Care Services, LLCNYHome Health Agency$0$255.9M
    Intergen Health, LLCNYHome Health Agency$0$156.3M
    R.a.i.n. Home Attendant Services, Inc.NYHome Health Agency$0$153.6M
    Intergen Health, LLCNYHome Health Agency$0$142M
    Home Choice LLCNYHome Health Agency$0$43.9M
    Prashanth MannamNYInternal Medicine Physician$227.6K$1M
    Natalya RodionovaNYFamily Medicine Physician$38.3K$1M
    Valeri KazakovNYInternal Medicine Physician$298.6K$637.4K

    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. New York Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Med Star Surgical & Breathing Equipment Inc. — 25 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York