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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

Lifehme, Inc. (NPI 1649228909)

Field	Value
Entity Type	Organization
Organization	Lifehme, Inc.
Address	454 Berryhill Rd Ste A
City	Columbia
State	SC
ZIP	29210
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	May 5, 2006

Payer Source	Total Paid
Medicaid	$45.6M
Medicare	$0

Key Findings

This provider is effectively single‑payer: LIFEHME, INC. reports no Medicare billing on file and $45.6M in lifetime Medicaid revenue, making Medicaid the sole recorded government payer for its operations. The absence of Medicare activity indicates the entity’s footprint and risk profile are concentrated entirely within the Medicaid market.

Revenue is highly concentrated in a small set of Medicaid codes: the precomputed top 3 Medicaid codes by revenue account for 39.6% of this provider's total Medicaid revenue, led by B4035 $6.7M (17.1%), B4161 $4.8M (12.2%), and E0465 $4.1M (10.4%). This concentration signals that a limited number of product lines — primarily enteral feeding supplies/formulas and invasive home ventilation — drive a disproportionate share of revenue.

The code mix shows a clear clinical and operational specialization in enteral nutrition and complex respiratory support. Large revenues and volumes in enteral-related codes (B4035, B4161, B4149, B4153, B4150, B4160) alongside high-revenue ventilator codes (E0465, E0466, E0482) suggest the business supplies pump-fed and tube-fed enteral regimens, pediatric hydrolyzed formulas, and both invasive and non‑invasive home ventilation equipment and accessories.

LIFEHME demonstrates dominant statewide competitive standing for multiple high‑value codes: it ranks #1 of 15 providers for B4035 (100th percentile; notably above typical state volume), #1 of 8 for B4161 (100th percentile; notably above typical state volume), and #1 of 5 for E0465 (100th percentile; notably above typical state volume). These top ranks and 100th percentile placements indicate the provider is a leading supplier in South Carolina for key enteral and invasive ventilation services.

Beyond the top three, the provider maintains very high relative positions across a broad set of DME items, reflecting breadth as well as depth: E1390 (oxygen concentrator) is $1.4M and ranks #3 of 87 (98th percentile; notably above typical state volume), B4150 is $638K and ranks #1 of 24 (100th percentile; extreme outlier, far above typical state volume), and E0260 (hospital bed) is $375.2K and ranks #2 of 51 (98th percentile; extreme outlier). These placements show the business also captures materially higher-than-typical statewide volume for oxygen, enteral formula types, and bed rentals.

Some codes show routine or unremarkable statewide presence despite high absolute activity: B9998 ($2.2M) ranks #2 of 6 (80th percentile; typical, unremarkable volume) and E0466 ($2.1M) ranks #6 of 23 (77th percentile; typical, unremarkable volume). This mix of standout #1 positions and several codes at typical percentiles suggests the company is highly specialized in a subset of products while remaining a normal competitor on other DME lines.

Operationally and payer‑risk wise, the combination of single‑payer reliance on Medicaid and a heavy revenue dependence on enteral and ventilator codes implies sensitivity to Medicaid coverage, coding, or reimbursement changes for those specific supplies and devices. With 39.6% of Medicaid revenue tied to the top three codes, policy shifts or audits focused on enteral or ventilator services could disproportionately affect revenues.

The entity has long tenure in the market: the NPI was enumerated on 2006-05-05 (~20 years ago), and sustained Medicaid receipts of $45.6M indicate an established, long‑running DME operation in South Carolina with entrenched relationships in enteral nutrition and home respiratory care.

Medicaid: Complete Services Breakdown

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

123 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	24,410	$280	$6.7M
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	9,310	$510	$4.8M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	4,820	$850	$4.1M
B9998	Noc for enteral supplies	18,570	$120	$2.2M
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	5,650	$390	$2.2M
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	2,390	$890	$2.1M
B4153	Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	2,470	$620	$1.5M
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	16,970	$80	$1.4M
B4087	Gastrostomy/jejunostomy tube, standard, any material, any type, each	47,140	$30	$1.3M
B4152	Enteral 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…	6,260	$200	$1.2M

Showing 1–10 of 123

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Carolina Distribution

Lifehme, Inc. — 16 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. South Carolina median

123 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E1399	Durable medical equipment, miscellaneous	6	10	910	$1,620	$3.8M
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	1	10	4,070	$520	$2.1M
B9998	Noc for enteral supplies	2	10	8,890	$190	$2M
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	2	10	2,840	$410	$1.5M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	1	20	920	$230	$1.4M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	1	10	1,020	$800	$1.3M
A9999	Miscellaneous dme supply or accessory, not otherwise specified	2	10	410	$230	$1M
S8189	Tracheostomy supply, not otherwise classified	1	10	1,380	$220	$726.4K
E0482	Cough stimulating device, alternating positive and negative airway pressure	1	10	2,350	$330	$722.6K
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	6	20	530	$490	$707.8K

Showing 1–10 of 123

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lifehme, Inc.	SC	Oxygen Equipment & Supplies (DME)	$0	$12M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Carolina Youth Advocate Program	SC	Community/Behavioral Health Agency	$0	$64M
Pal-med, LLC	SC	Durable Medical Equipment & Medical Supplies	$0	$26.2M
Bright Start, LLC	SC	Speech-Language Pathologist	$0	$20.8M
Kids First Dental, LLC	SC	Dentist	$0	$20.6M
Hospice Care Of South Carolina, Lowcountry, LLC	SC	Community Based Hospice Care Agency	$0	$19.9M
Crescent Hospice, Inc.	SC	Community Based Hospice Care Agency	$0	$17.3M
Coram Healthcare/carolina Home Therapeutics	SC	Home Infusion Therapy Pharmacy	$0	$13.9M
Caring Healthcare, Inc.	SC	Nursing Care Agency	$0	$13.3M
Richland/lexington Disabilities And Special Needs Board	SC	Case Management Agency	$0	$11.3M
Compassionate Care Hospice Of South Carolina, LLC	SC	Community Based Hospice Care Agency	$0	$9.6M

Lifehme, Inc. — Billing Profile & Reimbursement Data

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Lifehme, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References