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

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

Grace Home Respiratory Inc (NPI 1548249899)

Field	Value
Entity Type	Organization
Organization	Grace Home Respiratory Inc
Address	2204 N Hillcrest Pkwy
City	Altoona
State	WI
ZIP	54720
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	January 14, 2006

Payer Source	Total Paid
Medicaid	$2.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

29 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	15,320	$30	$444.4K
A7030	Full face mask used with positive airway pressure device, each	5,410	$70	$367.9K
E0601	Continuous positive airway pressure (CPAP) device	11,500	$30	$299.1K
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	870	$200	$171.9K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	3,560	$40	$149.6K
E0562	Humidifier, heated, used with positive airway pressure device	9,050	$10	$126.6K
A7037	Tubing used with positive airway pressure device	8,290	$10	$116.1K
A7035	Headgear used with positive airway pressure device	6,790	$20	$108.6K
E0470	Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive…	1,860	$40	$65.1K
E1392	Portable oxygen concentrator, rental	7,180	$10	$57.4K

Showing 1–10 of 29

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wisconsin Distribution

Grace Home Respiratory Inc — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	7	70	4,670	$40	$311K
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	9	20	870	$240	$248K
A7030	Full face mask used with positive airway pressure device, each	6	80	1,250	$80	$169.7K
E0601	Continuous positive airway pressure (CPAP) device	6	90	2,270	$40	$150.6K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	50	60	2,790	$20	$103.1K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	5	60	910	$50	$86.2K
E0562	Humidifier, heated, used with positive airway pressure device	8	90	1,890	$20	$72.7K
E0471	Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive…	8	10	190	$90	$69.8K
E0114	Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips	14	20	50	$30	$54.5K
A7035	Headgear used with positive airway pressure device	6	80	1,510	$20	$52.1K

Showing 1–10 of 29

Nearby Providers

Other providers in the same ZIP code as Grace Home Respiratory Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Troy Berg	WI	Orthopaedic Surgery Physician	$188.9K	$0
Nathaniel Stewart	WI	Orthopaedic Surgery Physician	$154.4K	$0
Carol Carlson	WI	Physical Medicine & Rehabilitation Physician	$138.7K	$0
Brent Carlson	WI	Orthopaedic Surgery Physician	$130.3K	$0
Ryan Donegan	WI	Podiatrist	$123K	$0
Austin Crow	WI	Orthopaedic Surgery Physician	$102.9K	$0
Nathan Harris	WI	Orthopaedic Surgery Physician	$88.4K	$0
John Berschback	WI	Surgery of the Hand (Surgery) Physician	$83.1K	$0
Rima Defatta	WI	Otolaryngology Physician	$73.1K	$0
Kamal Thapar	WI	Neurological Surgery Physician	$59.7K	$0

Grace Home Respiratory Inc — Billing Profile & Reimbursement Data

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Grace Home Respiratory 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