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

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

The Promptcare Companies, Inc. (NPI 1649574013)

Field	Value
Entity Type	Organization
Organization	The Promptcare Companies, Inc.
Address	741 3rd Ave
City	King Of Prussia
State	PA
ZIP	19406
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	December 29, 2010

Payer Source	Total Paid
Medicaid	$78.5M
Medicare	$0

Key Findings

THE PROMPTCARE COMPANIES, INC. is effectively a Medicaid-focused DME supplier: it has no Medicare billing on file and reports $78.5M in lifetime Medicaid revenue, indicating near-exclusive reliance on state Medicaid business rather than the Medicare market. Its NPI was enumerated on 2010-12-29 (~16 years ago), showing a long tenure that supports sustained participation in the Medicaid DME space.

Revenue is highly concentrated in a small set of ventilator and enteral-supply codes: the precomputed top three Medicaid codes account for 58.9% of the provider’s total Medicaid revenue, with E0465, E0466, and B4035 together representing the majority of earnings. This concentration indicates the business is organized around high-volume respiratory support and enteral nutrition supply services rather than a broad DME mix.

E0465 (home ventilator, invasive interface) is the single largest revenue driver at $30.3M (40.4% of Medicaid revenue) and ranks #1 of 11 providers in-state (100th percentile). This positioning marks THE PROMPTCARE COMPANIES as the dominant in-state supplier for invasive home ventilators, suggesting specialist capabilities or contracts focused on complex ventilator-dependent patients.

E0466 (home ventilator, non-invasive interface) at $7.3M (9.7% of Medicaid revenue) also ranks #1 of 35 providers in-state (100th percentile) and is labeled an extreme outlier. The combination of top positions on both invasive and non-invasive home ventilator codes indicates the provider covers the full spectrum of ventilatory DME and likely holds significant share of the state’s ventilator market.

B4035 (enteral feeding supply kit) generates $6.6M (8.8% of Medicaid revenue) and ranks #1 of 36 providers in-state (100th percentile), showing that enteral nutrition supplies are a major complementary service line. Multiple other enteral nutrition codes (B4161, B4160, B4153, B4150, B4149) also appear in the top codes list, which together imply a substantial pediatric and durable enteral nutrition business supporting pump-fed and complex feeding regimens.

Several additional codes show extreme or notable statewide concentration, reinforcing the provider’s dominant role in specialized pediatric and respiratory DME: E0565 (compressor) $6.2M, E1399 (misc DME) $3.2M at the 98th percentile, B9002 (enteral infusion pump) $1.4M at 100th percentile, and A4606 (oxygen probe) $1.3M at 100th percentile. These high ranks across diverse but related product lines point to an integrated supply model for chronic respiratory and enteral care.

Although the provider is a clear statewide leader for many codes, not all volumes are extreme: E1390 (oxygen concentrator) at $2.8M ranks #6 of 159 providers in-state (97th percentile) and several enteral codes sit in typical ranges (percentiles in the 80s–90s). This mix indicates the firm dominates high-acuity, specialized items while competing more conventionally on commodity oxygen equipment.

Given the absence of Medicare billing, payer mix is effectively single-payer (Medicaid) with concentrated service lines; analysts evaluating contracting or risk should treat THE PROMPTCARE COMPANIES as a Medicaid-centric specialist in ventilators and enteral supplies rather than a diversified DME vendor with balanced payer exposure.

Medicaid: Complete Services Breakdown

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

94 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	18,380	$1,650	$30.3M
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	14,660	$500	$7.3M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	36,890	$180	$6.6M
E0565	Compressor, air power source for equipment which is not self-contained or cylinder driven	3,790	$1,650	$6.2M
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…	8,990	$480	$4.3M
E1399	Durable medical equipment, miscellaneous	25,240	$130	$3.2M
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	28,610	$100	$2.8M
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,…	8,920	$240	$2.1M
B9998	Noc for enteral supplies	10,360	$140	$1.4M
B9002	Enteral nutrition infusion pump, any type	23,320	$60	$1.4M

Showing 1–10 of 94

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

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

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

94 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	1	10	700	$1,390	$4.6M
E1399	Durable medical equipment, miscellaneous	2	40	350	$540	$1.4M
A4353	Intermittent urinary catheter, with insertion supplies	8	10	2,140	$430	$1.2M
A6210	Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing	3	10	2,090	$420	$1.1M
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	1	40	720	$490	$915.2K
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,…	5	30	490	$190	$874.5K
B9998	Noc for enteral supplies	3	20	640	$220	$845K
E0565	Compressor, air power source for equipment which is not self-contained or cylinder driven	1	10	1,250	$710	$830.3K
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	20	180	$470	$766.9K
E0424	Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing	2	10	2,290	$300	$674.4K

Showing 1–10 of 94

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Promptcare Companies, Inc.	NJ	Oxygen Equipment & Supplies (DME)	$0	$83.1M
The Promptcare Companies, Inc.	TN	Oxygen Equipment & Supplies (DME)	$0	$3.3M
The Promptcare Companies, Inc.	CT	Durable Medical Equipment & Medical Supplies	$0	$1.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Behavior Interventions, Inc	PA	Behavior Analyst	$0	$73.7M
Children's Hospital Of Philadelphia	PA	Durable Medical Equipment & Medical Supplies	$0	$27.6M
Cnnh Therapy LLC	PA	Behavior Analyst	$0	$26.2M
Children's Hospital Of Philadelphia	PA	Home Infusion Agency	$0	$23.1M
Helping Hands Family Pennsylvania LLC	PA	Community/Behavioral Health Agency	$0	$15.8M
Trustees Of The University Of Pennsylvania	PA	Home Infusion Agency	$159.1K	$7.2M
Ambulnz PA, LLC	PA	Ambulance	$3.3M	$3.8M
Quality Life Healthcare LLC	PA	Nursing Care Agency	$0	$6.3M
Wal-mart Stores, Inc.	PA	Optician	$0	$5.7M
Main Line Spine Surgery Center, LLC	PA	Ambulatory Surgical Clinic/Center	$3.8M	$0

The Promptcare Companies, 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