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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Home Medical Equipment Specialists LLC (NPI 1720042583)

Field	Value
Entity Type	Organization
Organization	Home Medical Equipment Specialists LLC
Address	3901 Masthead St Ne
City	Albuquerque
State	NM
ZIP	87109
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	April 17, 2006

Payer Source	Total Paid
Medicaid	$100M
Medicare	$0

Key Findings

HOME MEDICAL EQUIPMENT SPECIALISTS LLC is effectively a Medicaid-centric DME supplier: it has $100M in Medicaid revenue on file and no Medicare billing on file, so its entire documented federal payer footprint for this dataset is driven by Medicaid business. This makes the provider a single-payer operation in practical terms for the available claims data.

Revenue is highly concentrated: three codes — E1390 ($20.2M, 28.5%), B4161 ($6.1M, 8.6%), and B4035 ($3.6M, 5.1%) — together account for 42.1% of the provider’s total Medicaid revenue. That concentration indicates a relatively small set of service lines generate the bulk of Medicaid receipts.

The code mix shows a clear clinical and operational focus on respiratory support and enteral nutrition supplies: large revenue and claim counts for E1390 (oxygen concentrators), E0431 (portable oxygen systems), E0601 (CPAP devices), E0465/E0466 (home ventilators), and enteral codes B4161 and B4035 point to a dual specialization in oxygen/ventilation equipment and tube-feeding products. This pattern suggests the business model centers on high-volume equipment rentals and recurring supply/consumable distribution for chronic respiratory and enteral patients.

Claim volumes reflect substantial operational scale: 224.7K claims for E1390, 185.7K claims for E0431, 52K claims for E0601, and tens of thousands of claims for A7030/A7031 and A4604 indicate both high-frequency rental/consumable activity and a large replacement-parts business for PAP interfaces and tubing. These high counts imply significant logistics, inventory, and refill workflows rather than one-time device sales.

Competitive standing in-state is dominant for many core DME categories: the provider ranks #1 of 59 for E1390 and is labeled an extreme outlier, and it is #1 and at the 100th percentile for numerous other respiratory and supply codes (for example A7030, E0431, E0601, A7031, A4604). Across Medicaid DME categories this provider should be considered a major statewide player, especially for oxygen and PAP-related codes.

The revenue mix includes several high-cost items that materially drive dollars despite smaller claim counts: B4161 has a $1153 avg paid/claim yielding $6.1M in revenue, A4353 averages $887/claim for $1.3M, and ventilator codes such as E0466 average $934/claim. These high-unit-dollar items indicate the provider also serves clinically complex patients and captures meaningful revenue from specialized supplies and accessories in addition to high-frequency consumables.

Peer-comparison nuances are important for interpretation: some top codes are flagged as "extreme outlier" or "notably above typical state volume" (e.g., E1390, A7030, E0431), while other codes have limited peer sets or atypical labels — for instance, E0465 ranks #1 of 1 providers in-state with a note that no state peer comparison is available, and B4161 ranks #1 of 3 providers in-state (100th percentile; typical, unremarkable volume for this code). Analysts should therefore treat dominance assertions as code-specific and be cautious when extrapolating across all DME lines.

The provider is long-tenured in NPI records, enumerated on 2006-04-17 (~20 years ago), which aligns with a sustained, established presence in the New Mexico Medicaid DME market. That tenure, combined with the concentrated revenue and repeated #1 in-state rankings across many codes, supports the conclusion that this is an established, high-volume Medicaid DME supplier with entrenched operational capabilities.

Medicaid: Complete Services Breakdown

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

216 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	224,660	$90	$20.2M
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…	5,270	$1,150	$6.1M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	19,270	$190	$3.6M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	3,900	$880	$3.4M
A7030	Full face mask used with positive airway pressure device, each	33,910	$100	$3.4M
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	185,700	$20	$3.2M
E0601	Continuous positive airway pressure (CPAP) device	51,960	$60	$2.9M
E0603	Breast pump, electric (ac and/or dc), any type	19,170	$130	$2.4M
E0424	Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing	21,630	$110	$2.4M
E0470	Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive…	18,390	$120	$2.2M

Showing 1–10 of 216

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Mexico Distribution

Home Medical Equipment Specialists LLC — 23 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. New Mexico median

216 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	3,900	$880	$3.4M
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	430	$1,160	$2.3M
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	1	60	5,320	$70	$987.5K
K0108	Wheelchair component or accessory, not otherwise specified	1	10	6,330	$160	$889.7K
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…	1	10	1,470	$570	$832.6K
A4353	Intermittent urinary catheter, with insertion supplies	1	10	880	$890	$780.6K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	1	10	1,550	$190	$624K
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	1	10	1,540	$340	$524K
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	3	10	760	$530	$521.6K
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…	1	10	3,690	$120	$435.2K

Showing 1–10 of 216

Related Providers

Other providers that share a Tax Identification Number (TIN) with Home Medical Equipment Specialists LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Medical Equipment Specialists, LLC	NM	Durable Medical Equipment & Medical Supplies	$0	$23.8M
Home Medical Equipment Specialists, LLC	NM	Durable Medical Equipment & Medical Supplies	$0	$11.5M
Home Medical Equipment Specialists, LLC	NM	Durable Medical Equipment & Medical Supplies	$0	$6.5M
Home Medical Equipment Specialists LLC	NM	Durable Medical Equipment & Medical Supplies	$0	$6M
Home Medical Equipment Specialists LLC	NM	Durable Medical Equipment & Medical Supplies	$0	$4.5M
Home Medical Equipment Specialists LLC	NM	Home Infusion Therapy Pharmacy	$0	$3.7M
Home Medical Equipment Specialists, LLC	NM	Durable Medical Equipment & Medical Supplies	$0	$1.7M
Home Medical Equipment Specialists, LLC	NM	Durable Medical Equipment & Medical Supplies	$0	$1.6M

Nearby Providers

Other providers in the same ZIP code as Home Medical Equipment Specialists LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Presbyterian Healthcare Services	NM	Internal Medicine Physician	$0	$240.8M
Heritage Home Healthcare Services, Inc.	NM	Home Health Agency	$0	$141.5M
The New Beginnings LLC	NM	Adult Day Care Clinic/Center	$0	$85.1M
We Care Agency, Inc.	NM	In Home Supportive Care Agency	$0	$60.1M
Lovelace Health System, LLC	NM	General Acute Care Hospital	$0	$57.7M
Adelante Development Center, Inc.	NM	Personal Care Attendant	$0	$57M
Eye Associates Of New Mexico Ltd	NM	Ophthalmology Physician	$0	$46.9M
Southwest Labs LLC	NM	Clinical Medical Laboratory	$1.1M	$41.5M
Southwest Medical Associates, LLC	NM	General Practice Physician	$0	$41.4M
Tspc-nm, LLC	NM	Nursing Care Agency	$0	$28.9M

Home Medical Equipment Specialists LLC — Billing Profile & Reimbursement Data

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Home Medical Equipment Specialists 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

Related Providers

Nearby Providers

Frequently Asked Questions

References