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    OpenPayerNPI Medicare & MedicaidAeroflow Inc.
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    Aeroflow Inc. — Billing Profile & Reimbursement Data

    NPI 1639375835 · Johnson City, TN · Durable Medical Equipment & Medical Supplies

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    Aeroflow Inc. is a durable medical equipment & medical supplies provider located in Johnson City, Tennessee. This profile covers 0 Medicare and 75 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
    OrganizationAeroflow Inc.
    Address5 Worth Cir Ste A
    CityJohnson City
    StateTN
    ZIP37601
    TaxonomyDurable Medical Equipment & Medical Supplies
    NPI EnumeratedJune 25, 2007

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

    Payer SourceTotal Paid
    Medicaid$40.9M
    Medicare$0

    Key Findings

    This entity is effectively a Medicaid-only DME supplier: there is no Medicare billing on file and Total Medicaid revenue: $40.9M, indicating that its entire documented payer footprint in these datasets is concentrated in Medicaid. Analysts should treat this profile as single-payer operationally, with exposure and risk tied to state Medicaid policy and contracts rather than Medicare dynamics.

    Revenue is highly concentrated among a few codes: precomputed top 3 codes by revenue account for 65.2% of this provider's total Medicaid revenue, driven primarily by E0603 ($22.3M, 55.7%), with secondary contributions from A6530 ($2M, 5.0%) and T4532 ($1.8M, 4.5%). This concentration implies that changes in reimbursement or utilization policy for breast pumps or these specific supply categories would materially affect overall revenue.

    The provider’s dominant single-code driver is E0603 (breast pump, electric), which accounts for $22.3M and 55.7% of Medicaid revenue and ranks #1 of 9 providers in-state (100th percentile; notably above typical state volume for this code). This pattern indicates a core business line centered on lactation equipment and services, and the provider likely operates a high-volume distribution channel or contractual relationship for breast pumps.

    Beyond breast-feeding supplies, the code mix shows a sizeable business in incontinence and continence supplies: T4532 ($1.8M), T4535 ($1.1M), T4527 ($704.5K), and T4541 ($684.3K) among others. The mix includes both pediatric and adult products (e.g., pediatric T4532 and adult T4527/T4541), suggesting operations that serve multiple age cohorts and payer-authorized needs within durable medical supplies.

    Orthotic and bracing items are a meaningful secondary line: L0621 ($1.8M), L2630 ($1M), and L0641 ($241K) appear in the top codes, with L0621 and L2630 listed as the sole in-state provider for those codes (0th percentile; no state peer volume comparison available). This indicates the provider also supplies prefabricated orthoses and pelvic/lower-extremity supports, and in some cases acts as the exclusive documented supplier in the state dataset for certain orthotic items.

    Competitive standing is locally strong for multiple product lines: the provider ranks #1 in-state (100th percentile) for E0603, A6530, T4532 and several other codes, and holds high-percentile placements (e.g., A4353 at 80th percentile, T4527 at 86th percentile). These rank positions portray the provider as a dominant or major statewide supplier for breast pumps and several disposable supply categories, while competitive intensity varies by product line.

    There are notable statistical outliers and high-percentile placements across both niche and broad-supply codes: E0603 is explicitly described as notably above typical state volume, T4535 and A4554 are also described as notably above typical state volume, and E0570 (nebulizer) is ranked #5 of 148 providers in-state (97th percentile; notably above typical state volume) despite contributing only $117.4K. In addition, several orthotic codes are solo entries with “no state peer volume comparison available,” which signals either unique contracting or reporting patterns for those specific items.

    The provider has long tenure in the NPI file (NPI enumerated: 2007-06-25 (~19 years ago)), which, combined with concentrated Medicaid revenue and repeated #1 in-state rankings for key codes, suggests an established, specialized DME supplier profile focused on lactation equipment, continence supplies, and selected orthoses. For payers and network analysts, this implies an experienced vendor with entrenched state-market positions in specific supply categories rather than a diversified national Medicare-facing DME business.

    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.

    75 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    E0603Breast pump, electric (ac and/or dc), any type127,710$180$22.3M
    A6530Gradient compression stocking, below knee, 18-30 mmhg, each24,520$80$2M
    T4532Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each17,440$100$1.8M
    L0621Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf36,020$50$1.8M
    K1005Disposable collection and storage bag for breast milk, any size, any type, each17,030$70$1.2M
    A4287Disposable collection and storage bag for breast milk, any size, any type, each13,880$80$1.1M
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each23,200$50$1.1M
    T4533Youth sized disposable incontinence product, brief/diaper, each12,750$80$1.1M
    L2630Addition to lower extremity, pelvic control, band and belt, unilateral7,650$130$1M
    A4353Intermittent urinary catheter, with insertion supplies2,590$340$883.2K

    Showing 1–10 of 75

    • More pages

    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

    75 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    E0603Breast pump, electric (ac and/or dc), any type1101,710$170$2.7M
    L0621Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf11036,020$50$1.8M
    L2630Addition to lower extremity, pelvic control, band and belt, unilateral1107,650$130$1M
    A6530Gradient compression stocking, below knee, 18-30 mmhg, each11012,420$80$1M
    T4532Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each1109,490$100$957.5K
    A4353Intermittent urinary catheter, with insertion supplies2101,300$440$686.1K
    K0553Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service410490$140$621.1K
    K1005Disposable collection and storage bag for breast milk, any size, any type, each1108,880$70$588.4K
    A4287Disposable collection and storage bag for breast milk, any size, any type, each1107,110$80$572.8K
    E2402Negative pressure wound therapy electrical pump, stationary or portable920300$350$563.7K

    Showing 1–10 of 75

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Aeroflow Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Aeroflow Inc.NCDurable Medical Equipment & Medical Supplies$0$571.9M
    Aeroflow IncSCDurable Medical Equipment & Medical Supplies$0$11.5M
    Aeroflow IncMIDurable Medical Equipment & Medical Supplies$0$6.9M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    East Tennessee Recovery, PLLCTNAddiction Medicine (Internal Medicine) Physician$0$28.3M
    Talkback, Inc.TNSpeech-Language Pathologist$0$8.2M
    Mini Miracles Pediatric Therapy, PLLCTNEarly Intervention Provider Agency$0$7.2M
    Washington County-johnson City Emergency Medical Services IncTNLand Ambulance$1.6M$5.3M
    Lincare IncTNDurable Medical Equipment & Medical Supplies$0$4.6M
    Dragonfly Medical And Behavioral Health Professsional CorporationTNAddiction Medicine (Family Medicine) Physician$0$4.5M
    Fairview TherapyTNEarly Intervention Provider Agency$0$2.8M
    Dawn Of Hope, IncTNIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$2.8M
    Watauga Orthopaedics PlcTNOrthopaedic Surgery Physician$0$2.5M
    Envision IncTNIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$2.5M

    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
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Aeroflow Inc. — 13 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee