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

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

Medical Resources, Inc (NPI 1508885617)

Field	Value
Entity Type	Organization
Organization	Medical Resources, Inc
Address	1511 4th Ave S
City	Birmingham
State	AL
ZIP	35233
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	July 19, 2006

Payer Source	Total Paid
Medicaid	$23.6M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file while total Medicaid revenue is $23.6M, indicating the organization’s revenue base is concentrated entirely in Medicaid rather than a mixed Medicare/Medicaid payer mix. Analysts should treat Medicaid as the primary commercial lens when evaluating scale, utilization, and contract leverage for this entity.

Revenue is highly concentrated in a few Medicaid codes: the top three Medicaid codes (A4624, E0465, E1390) together account for 41.5% of this provider’s total Medicaid revenue. Individually those codes represent 16.1% (A4624), 12.9% (E0465), and 12.4% (E1390) of Medicaid revenue, so changes in reimbursement or utilization for these three items would materially affect overall revenue.

The code mix and volumes point to an operation centered on tracheostomy and ventilatory support plus oxygen delivery: high‑revenue/high‑volume items include A4624 (tracheal suction catheter, 7.4K claims, $498 avg paid/claim), E0465 (home ventilator used with invasive interface, 3.5K claims, $840 avg paid/claim), and E1390 (oxygen concentrator, 32.7K claims, $87 avg paid/claim). This combination suggests the supplier provides both durable equipment (ventilators, concentrators) and large quantities of consumable tracheostomy/airway supplies, consistent with the DME oxygen/ventilator service line.

On statewide competitive standing the provider is dominant for many core codes: it ranks #1 of 122 providers for E1390 and is described as an "extreme outlier, far above typical state volume for this code," ranks #1 of 95 for E0431 (also an "extreme outlier"), and appears as the top billing supplier for numerous other codes (many with 100th percentile rankings). These rank/percentile signals indicate the provider is a major, sometimes sole or leading, source of oxygen concentrators and portable oxygen supplies in Alabama.

For ventilator and tracheostomy‑related supplies the provider is the statewide leader but volumes are characterized as more typical within smaller peer sets: A4624 ranks #1 of 4 providers (100th percentile; typical, unremarkable volume), E0465 ranks #1 of 3 providers (100th percentile; typical, unremarkable volume), and S8189 ranks #1 of 2 (100th percentile; typical, unremarkable volume). That pattern suggests specialization in invasive respiratory support with few direct competitors statewide, even when per‑code volumes are not labeled outlier.

Operationally the claims and average paid/claim profile show a mixed model of high‑volume, low‑unit‑payment rentals/consumables and lower‑volume, higher‑unit‑payment durables: examples include very large claim counts at low avg paid/claim for E0431 (26.4K claims, $18 avg paid/claim) and E1390 (32.7K claims, $87 avg paid/claim) alongside higher avg paid/claim items like E0465 ($840 avg paid/claim). This mix signals recurring revenue from rentals and disposables plus episodic revenue from higher‑priced durable devices, which has implications for inventory, recurring billing operations, and cash flow.

Several codes are flagged as sole or unmatched in the state peer comparison (for example A5126, A4625, A7008, E0550 show "0th percentile; no state peer volume comparison available"), suggesting the provider bills items that other in‑state suppliers either do not report or supply at materially lower levels. Those solitary comparisons should be evaluated further for product specialization, billing taxonomy choices, or contracting differences that could explain the absence of comparable state peers.

The provider has long tenure in the NPI registry, enumerated 2006-07-19 (~20 years ago), and the sustained high Medicaid volume across many codes (e.g., tens of thousands of claims for E1390, E0431, and large counts for disposables like A7509 and A4624) indicates an entrenched market position in Alabama’s DME oxygen/ventilator supply market. That longevity combined with dominant statewide ranks makes this supplier a strategic counterparty for payers managing populations requiring home oxygen and ventilatory support.

Medicaid: Complete Services Breakdown

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

55 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A4624	Tracheal suction catheter, any type other than closed system, each	7,400	$500	$3.7M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	3,520	$840	$3M
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	32,730	$90	$2.8M
S8189	Tracheostomy supply, not otherwise classified	7,030	$380	$2.6M
A7509	Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each	8,010	$250	$2M
E0445	Oximeter device for measuring blood oxygen levels non-invasively	13,310	$110	$1.5M
E0443	Portable oxygen contents, gaseous, 1 month's supply = 1 unit	10,550	$120	$1.2M
A5126	Adhesive or non-adhesive; disk or foam pad	10,930	$100	$1.1M
A4606	Oxygen probe for use with oximeter device, replacement	12,380	$60	$693.4K
A4628	Oral and/or oropharyngeal suction catheter, each	5,710	$90	$507.7K

Showing 1–10 of 55

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Medical Resources, Inc — 18 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

55 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	1	10	3,160	$770	$1.8M
S8189	Tracheostomy supply, not otherwise classified	1	10	4,560	$400	$1.8M
A4624	Tracheal suction catheter, any type other than closed system, each	1	10	1,890	$430	$1.2M
A5126	Adhesive or non-adhesive; disk or foam pad	1	10	10,930	$100	$1.1M
A7509	Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each	1	10	2,630	$210	$759.4K
E0445	Oximeter device for measuring blood oxygen levels non-invasively	1	10	2,890	$120	$634.5K
E1399	Durable medical equipment, miscellaneous	1	10	400	$680	$607.2K
A4625	Tracheostomy care kit for new tracheostomy	1	10	3,460	$140	$472.8K
A4606	Oxygen probe for use with oximeter device, replacement	1	10	6,310	$50	$345.9K
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	13	20	460	$280	$202.4K

Showing 1–10 of 55

Nearby Providers

Other providers in the same ZIP code as Medical Resources, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America Holdings	AL	Clinical Medical Laboratory	$60.5M	$289.1M
University Of Alabama Health Services Foundation, PC	AL	Pediatrics Physician	$0	$79.6M
University Of Alabama Health Services Foundation, PC.	AL	Multi-Specialty Clinic/Center	$0	$77.1M
The Children's Hospital Of Alabama	AL	Children's Hospital	$0	$59M
M&o Enterprises LLC	AL	Home Infusion Therapy Pharmacy	$0	$31.2M
Southern Lab Partners, LLC	AL	Clinical Medical Laboratory	$5.4M	$14.4M
University Of Alabama Health Services Foundation PC	AL	Clinic/Center	$0	$18.6M
Jefferson County Board Of Health	AL	Public Health or Welfare Agency	$0	$12.2M
The Children's Hospital Of Alabama	AL	Psychologist	$0	$12M
The Children's Hospital Of Alabama	AL	Pediatrics Physician	$0	$7.5M

Medical Resources, 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