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

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

First Choice Home Medical Equipment, LLC (NPI 1750331484)

Field	Value
Entity Type	Organization
Organization	First Choice Home Medical Equipment, LLC
Address	259 Quigley Blvd Ste 1
City	New Castle
State	DE
ZIP	19726
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	May 11, 2006

Payer Source	Total Paid
Medicaid	$16.9M
Medicare	$0

Key Findings

FIRST CHOICE HOME MEDICAL EQUIPMENT, LLC shows effectively single-payer activity: it has no Medicare billing on file and all reported lifetime public program revenue is Medicaid-only, totaling $16.9M. This makes the provider dependent on state Medicaid contracts and patient populations rather than Medicare-managed volumes, so payer mix exposure and reimbursement drivers will be concentrated in Medicaid policy and procurement cycles.

The provider's top 3 Medicaid codes account for 30.6% of its total Medicaid revenue, indicating meaningful revenue concentration in a small set of service lines. That level of concentration suggests operational focus and inventory specialization around the high-revenue DME items reflected in the top codes, and warrants monitoring for supply chain or utilization shifts that would disproportionately affect overall revenue.

Clinical and service-line profile is dominated by respiratory and durable medical equipment: E1390 (oxygen concentrator), E0601 (CPAP device), and related accessories (A7032, A7030, A7034, A7031, A6034-type masks and tubing) appear throughout the top claims list. The mix of oxygen systems, positive airway pressure devices, masks, heated tubing (A4604) and ventilators (E0466/E0465) indicates core capabilities in chronic respiratory support and home ventilation support for Medicaid beneficiaries.

FIRST CHOICE is a statewide market leader for many DME codes — it ranks #1 in-state for numerous top codes including E1390, E0601, A7032, A7030, A7034, A7031, E0570, and others, frequently at the 100th percentile and described as "notably above typical state volume". These ranking signals indicate the provider is a dominant supplier in Delaware for multiple respiratory and home medical equipment categories, and likely a primary vendor for Medicaid members needing those products.

Several individual codes are flagged as notably above typical state volume, which highlights statistical outlier status for particular product lines: E1390 (oxygen concentrator) is noted as "notably above typical state volume" and generates $1.8M (13.6% of Medicaid revenue); E0601 (CPAP) is similarly "notably above typical state volume" and generates $1.1M (8.4%); A7034 and A7030 also show notably above-typical volumes. These descriptions suggest utilization and distribution of respiratory devices are substantially higher here than typical in-state peers.

There are material revenue contributions from non-respiratory DME categories as well, including enteral feeding supplies (B4035 $803.6K), hospital beds (E0260 $649.7K), standard wheelchairs (K0001 $406.9K), and adult incontinence products (T4522/T4527). This breadth indicates the provider operates a broader DME inventory beyond respiratory care, serving multiple durable-medical equipment needs across the Medicaid population.

Operational tenure is long-standing: the NPI was enumerated on 2006-05-11 (~20 years ago), which supports the picture of an established DME supplier with sustained Medicaid relationships and operational history. Long tenure plus top-state rankings strengthen the inference of entrenched market position and familiarity with Medicaid billing processes.

While the provider is dominant in-state across many codes, it has no Medicare billing on file, so it is not active in the Medicare market or has not billed Medicare; analysts should treat competitive comparisons and market share as Medicaid-state-level phenomena rather than national Medicare-position statements. This makes benchmarking against Medicare peers inapplicable and emphasizes sensitivity to Delaware Medicaid program changes for revenue risk.

Medicaid: Complete Services Breakdown

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

115 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	37,460	$50	$1.8M
E0603	Breast pump, electric (ac and/or dc), any type	3,170	$360	$1.2M
E0601	Continuous positive airway pressure (CPAP) device	29,150	$40	$1.1M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	5,740	$140	$803.6K
A7032	Cushion for use on nasal mask interface, replacement only, each	16,990	$40	$747.4K
A7030	Full face mask used with positive airway pressure device, each	12,000	$60	$743.9K
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	25,990	$30	$649.6K
A4604	Tubing with integrated heating element for use with positive airway pressure device	22,830	$30	$616.3K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	13,040	$50	$612.9K
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	1,590	$370	$594.3K

Showing 1–10 of 115

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Delaware Distribution

First Choice Home Medical Equipment, LLC — 20 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

115 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	1	10	6,540	$40	$458.5K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	1	10	3,060	$130	$405.2K
E0603	Breast pump, electric (ac and/or dc), any type	1	10	40	$360	$384.4K
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	1	10	1,230	$270	$327.3K
E0601	Continuous positive airway pressure (CPAP) device	1	10	4,990	$40	$289.4K
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	1	10	780	$310	$249.2K
E0277	Powered pressure-reducing air mattress	1	10	1,720	$130	$221.5K
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	1	10	580	$20	$220.5K
A7030	Full face mask used with positive airway pressure device, each	1	10	3,100	$60	$213K
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	1	10	2,650	$80	$212.8K

Showing 1–10 of 115

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vikas Batra	DE	Pulmonary Disease Physician	$656.4K	$0
Ercilia Arias	DE	Pulmonary Disease Physician	$263.8K	$0
Felistas Gatune	DE	Family Nurse Practitioner	$44.7K	$0

First Choice Home Medical Equipment, LLC — Billing Profile & Reimbursement Data

Sign up for First Choice Home Medical Equipment, LLC — Billing Profile & Reimbursement Data policy alerts

First Choice Home Medical Equipment, LLC — Billing Profile & Reimbursement Data

Sign up for First Choice Home Medical Equipment, LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References