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    OpenPayerNPI Medicare & MedicaidManor Respiratory Care LLC
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    Manor Respiratory Care LLC — Billing Profile & Reimbursement Data

    NPI 1578575932 · Mount Juliet, TN · Oxygen Equipment & Supplies (DME)

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    Manor Respiratory Care LLC is a oxygen equipment & supplies (dme) provider located in Mount Juliet, Tennessee. This profile covers 0 Medicare and 36 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
    OrganizationManor Respiratory Care LLC
    Address3384 N Mount Juliet Rd Ste 400&500
    CityMount Juliet
    StateTN
    ZIP37122
    TaxonomyOxygen Equipment & Supplies (DME)
    NPI EnumeratedAugust 13, 2006

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

    Payer SourceTotal Paid
    Medicaid$4.2M
    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.

    36 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each11,210$60$706.3K
    T4541Incontinence product, disposable underpad, large, each23,620$30$661.4K
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each10,320$50$557.2K
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each7,180$80$538.2K
    T4544Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each2,740$100$270.8K
    T4524Adult sized disposable incontinence product, brief/diaper, extra large, each2,830$80$235.1K
    T4522Adult sized disposable incontinence product, brief/diaper, medium, each3,360$50$178K
    T4523Adult sized disposable incontinence product, brief/diaper, large, each3,130$60$175.5K
    T4543Adult sized disposable incontinence product, protective brief/diaper, above extra large, each1,480$110$167.6K
    E0601Continuous positive airway pressure (CPAP) device4,190$30$104.8K

    Showing 1–10 of 36

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Tennessee median

    36 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each1101,820$60$235.8K
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each1101,790$60$214.4K
    T4541Incontinence product, disposable underpad, large, each1104,840$30$208.2K
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each1101,700$80$201.6K
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each2101,390$40$162.5K
    A4351Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each820670$80$162.5K
    T4544Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each210740$100$157.2K
    B4152Enteral 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…2430610$30$143.4K
    A7030Full face mask used with positive airway pressure device, each651101,270$30$79.4K
    A4554Disposable underpads, all sizes510810$20$71.2K

    Showing 1–10 of 36

    Nearby Providers

    Other providers in the same ZIP code as Manor Respiratory Care LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    German CastilloTNPediatric Dentistry$0$3.2M
    Bluespring Behavioral Health LLCTNCommunity/Behavioral Health Agency$0$2.7M
    Son LeTNPhysical Medicine & Rehabilitation Physician$352.2K$0
    James EbyTNPhysical Medicine & Rehabilitation Physician$309.5K$22.2K
    Billy KimTNVascular Surgery Physician$198.6K$0
    Michael BelsanteTNUrology Physician$182.5K$0
    Seth BanksTNInternal Medicine Physician$181.6K$0
    Bernard Pare'TNFamily Medicine Physician$180.1K$0
    Tenn Sm LLCTNAmbulatory Surgical Clinic/Center$146.8K$22.5K
    Peninnah KumarTNPodiatrist$167.3K$0

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Tennessee Providers
    2 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Manor Respiratory Care LLC — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee