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

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

Apple Homecare Medical Supply LLC (NPI 1649259797)

Field	Value
Entity Type	Organization
Organization	Apple Homecare Medical Supply LLC
Address	500 Industrial Dr
City	Richardson
State	TX
ZIP	75081
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	January 16, 2006

Payer Source	Total Paid
Medicaid	$123.3M
Medicare	$0

Key Findings

APPLE HOMECARE MEDICAL SUPPLY LLC is effectively a Medicaid-centric DME/MS provider with $123.3M in total Medicaid revenue on file and no Medicare billing reported; its NPI was enumerated 2006-01-16 (~20 years ago), indicating a long-standing presence in the Texas market.

Revenue is notably concentrated: the top 3 Medicaid codes by revenue (B4161, B4035, E0465) account for 40.1% of this provider's total Medicaid revenue, with B4161 contributing $15.3M (14.5%), B4035 contributing $14.2M (13.4%), and E0465 contributing $12.8M (12.2%). This concentration shows a heavy dependence on a small set of high-revenue services.

The code mix points to a specialized business model focused on pediatric enteral nutrition and home respiratory support. High-revenue enteral codes (B4161, B4160, B4149, B4153, B4155) alongside large volumes of feeding supplies and pumps (B4035, B9998, B9002) identify core operations around tube feeding and nutrition, while ventilator and oxygen equipment codes (E0465, E0466, E1390) show a parallel emphasis on home respiratory care.

Competitive standing in respiratory equipment and monitoring is dominant statewide: E0465 ranks #1 of 25 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), E1390 ranks #1 of 254 providers (100th percentile; extreme outlier), and E0445 ranks #1 of 32 providers (100th percentile; extreme outlier). These top ranks and extreme-outlier labels indicate this provider is a major supplier of ventilators, oxygen concentrators, and oximeters in Texas.

For enteral nutrition and associated supplies the provider also shows very high state-level volumes for several codes but with mixed percentile context: B4035 (feeding supply kit) ranks #2 of 64 providers in-state (98th percentile; notably above typical state volume for this code), while B4161 ranks #3 of 41 (95th percentile; typical, unremarkable volume for this code). This pattern suggests market leadership in feeding kits and strong but variable standing across specific formula codes.

Consumable and tracheostomy-related supplies are another area of dominance: A4606 (oxygen probe) has 51K claims and ranks #1 of 29 providers (100th percentile; extreme outlier), A7000 (canister, disposable) ranks #1 of 47 providers (100th percentile; extreme outlier), and A4624 (tracheal suction catheter, any type) ranks #1 of 28 providers (100th percentile; extreme outlier). Large claim counts for low-unit-value consumables indicate significant recurring supply volume and a business with high throughput of disposable products.

Operationally, the provider’s revenue profile—with $123.3M anchored by a few high-revenue codes and extensive high-volume consumable claims—suggests sensitivity to reimbursement changes or policy shifts affecting enteral nutrition and home respiratory equipment. The combination of expensive capital items (ventilators, oxygen concentrators) and recurring supplies (enteral kits, cannisters, probes) implies both capex/service coordination and recurring revenue streams tied to chronic care management.

Because there is no Medicare billing on file, APPLE HOMECARE MEDICAL SUPPLY LLC should be treated as effectively a single-payer (Medicaid) operation at scale in Texas; its statewide ranks and multiple 100th-percentile code positions mark it as a major in-state competitor for pediatric enteral and home respiratory DME categories.

Medicaid: Complete Services Breakdown

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

116 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	19,940	$770	$15.3M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	53,250	$270	$14.2M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	18,460	$700	$12.8M
B9998	Noc for enteral supplies	74,660	$90	$6.6M
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	20,840	$310	$6.4M
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	47,440	$120	$5.5M
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	12,440	$400	$4.9M
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	6,390	$760	$4.8M
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…	3,330	$1,450	$4.8M
A4606	Oxygen probe for use with oximeter device, replacement	51,010	$70	$3.7M

Showing 1–10 of 116

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Apple Homecare Medical Supply LLC — 17 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

116 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	3	40	2,180	$270	$7.2M
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	7	50	2,810	$150	$3.2M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	1	30	1,590	$720	$2.1M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	2	60	2,520	$210	$1.8M
A4353	Intermittent urinary catheter, with insertion supplies	9	40	1,010	$540	$1.3M
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…	3	20	630	$1,010	$1.2M
B9998	Noc for enteral supplies	2	60	4,690	$90	$1.1M
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	30	1,100	$360	$977.3K
E1399	Durable medical equipment, miscellaneous	7	60	540	$430	$786.2K
B4155	Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium…	2	30	1,340	$250	$771.4K

Showing 1–10 of 116

Nearby Providers

Other providers in the same ZIP code as Apple Homecare Medical Supply LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Caregivers Home Health Tx Inc	TX	Home Health Agency	$0	$478M
Hope Pediatrics LLC	TX	Home Health Agency	$0	$77.9M
Abc Home Medical Supply, Inc.	TX	Durable Medical Equipment & Medical Supplies	$0	$22.8M
Trident Diagnostics Limited Liability Company	TX	Clinical Medical Laboratory	$14.9M	$66.7K
Rfa Medical Solutions LLC	TX	Clinical Medical Laboratory	$6.4M	$0
Cabot Lab LLC	TX	Clinical Medical Laboratory	$278.1K	$1.2M
Curie Dx Laboratory LLC	TX	Clinical Medical Laboratory	$664.4K	$2.8K
Shahida Rafiq	TX	Family Medicine Physician	$232.7K	$0
Pearl Ezegrim	TX	Psychiatric/Mental Health Nurse Practitioner	$110.1K	$40
Francis Lister	TX	Optometrist	$23.8K	$0

Apple Homecare Medical Supply LLC — Billing Profile & Reimbursement Data

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Apple Homecare Medical Supply LLC — 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