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

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

M&o Enterprises LLC (NPI 1760425011)

Field	Value
Entity Type	Organization
Organization	M&o Enterprises LLC
Address	2701 4th Ave S
City	Birmingham
State	AL
ZIP	35233
Taxonomy	Home Infusion Therapy Pharmacy
NPI Enumerated	June 14, 2006

Payer Source	Total Paid
Medicaid	$31.2M
Medicare	$0

Key Findings

This entity is effectively a single-payer Medicaid supplier: Medicare billing is none (no Medicare billing on file) while lifetime Medicaid revenue totals $31.2M, indicating the provider’s commercial/Medicare footprint is absent from available records and its scale is driven almost entirely by Medicaid. The provider’s NPI was enumerated on 2006-06-14 (~20 years ago), so it is a long-tenured supplier with roughly two decades of enrollment history.

Revenue is highly concentrated in a very small set of Medicaid codes: the precomputed top 3 Medicaid codes account for 72.6% of this provider's total Medicaid revenue, dominated by B4035 ($12.9M, 41.6%), B9002 ($5.4M, 17.3%), and B4034 ($4.3M, 13.7%). This concentration signals that a few enteral/infusion supply lines drive the bulk of payments to the organization.

The code mix aligns with a home infusion and enteral nutrition specialty operation: top codes are B4035 (enteral feeding supply kit), B9002 (enteral nutrition infusion pump), and B4034 (syringe-fed enteral feeding supply kit), and additional lines include gastrostomy/jejunostomy tubes (B4088) and parenteral nutrition kits (B4224/B4220). Together these codes indicate the business primarily provides durable enteral and parenteral equipment, daily supply kits, and pump-dependent nutrition support rather than traditional pharmacy-only dispensing.

This provider is a dominant statewide player for its highest-volume codes: it ranks #1 of 15 providers for B4035 at the 100th percentile and is labeled an "extreme outlier, far above typical state volume for this code," and it similarly ranks #1 and 100th percentile for B9002 and B4034. Those rank and percentile signals indicate the organization supplies materially more enteral pumps and daily feeding kits in Alabama than other in-state peers, representing a leading competitive position in those product lines.

Operational throughput is substantial: reported claim counts for the top items are large (B9002: 72.9K claims; B4035: 53.9K claims; B4034: 43.1K claims), which implies significant logistics, inventory, and care-coordination capacity to sustain daily consumable and pump distribution at scale. The combination of high claim volumes with per-diem supply codes suggests ongoing recurring service relationships with patients on long-term enteral or infusion therapy.

Several codes show limited state peer competition or sole-provider reporting: for instance, B4224 (parenteral nutrition administration kit) and B9004 (parenteral nutrition infusion pump, portable) each rank #1 of 1 providers in-state with a 0th percentile note (no state peer volume comparison available). These single-provider code presences suggest the provider may be the only or primary reported supplier in Alabama for certain specialized parenteral items.

Reimbursement mix reflects both high-volume, low-unit-price items and lower-volume, higher-unit-price items: average paid/claim for the top three codes are $240 for B4035, $74 for B9002, and $99 for B4034, showing that dollars are driven by a mix of substantial volumes (especially for B9002 and B4034) and higher per-claim payments for some supply kits. Payers evaluating utilization risk should note that large aggregate revenue can come from either high per-diem supply kits or very high claim counts for pumps and disposables.

Although supplies and pumps dominate revenue, the provider also reports paid per-diem service codes consistent with active case management: S9500 (home infusion per diem administrative services) generated $652.5K and ranks #2 of 11 providers in-state at the 90th percentile, indicating the organization also bills for care coordination/administrative home infusion services in addition to equipment and supplies. This mix suggests payers should consider both device/supply costs and per-diem service management when assessing contracting or oversight strategies.

Medicaid: Complete Services Breakdown

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

31 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	53,930	$240	$12.9M
B9002	Enteral nutrition infusion pump, any type	72,900	$70	$5.4M
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	43,140	$100	$4.3M
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	13,480	$150	$2.1M
B4224	Parenteral nutrition administration kit, per day	6,300	$230	$1.5M
B9998	Noc for enteral supplies	63,840	$20	$1.2M
B9004	Parenteral nutrition infusion pump, portable	3,010	$280	$849.9K
S9500	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and…	3,630	$180	$652.5K
B4220	Parenteral nutrition supply kit; premix, per day	6,310	$70	$467.1K
A4213	Syringe, sterile, 20 cc or greater, each	13,550	$20	$257.5K

Showing 1–10 of 31

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

M&o Enterprises LLC — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
B4224	Parenteral nutrition administration kit, per day	1	10	6,300	$230	$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	1,360	$160	$993.4K
B9004	Parenteral nutrition infusion pump, portable	1	10	3,010	$280	$848.7K
E1399	Durable medical equipment, miscellaneous	5	10	400	$680	$607.2K
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	1	10	690	$150	$548.9K
B9002	Enteral nutrition infusion pump, any type	1	10	600	$70	$525.6K
B4220	Parenteral nutrition supply kit; premix, per day	1	10	6,310	$70	$467.7K
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	1	10	510	$90	$407.2K
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	5	10	700	$60	$375.9K
S9500	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and…	2	10	930	$150	$239K

Showing 1–10 of 31

Nearby Providers

Other providers in the same ZIP code as M&o Enterprises LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America Holdings	AL	Clinical Medical Laboratory	$60.5M	$289.1M
University Of Alabama Health Services Foundation, PC	AL	Pediatrics Physician	$0	$79.6M
University Of Alabama Health Services Foundation, PC.	AL	Multi-Specialty Clinic/Center	$0	$77.1M
The Children's Hospital Of Alabama	AL	Children's Hospital	$0	$59M
Medical Resources, Inc	AL	Oxygen Equipment & Supplies (DME)	$0	$23.6M
Southern Lab Partners, LLC	AL	Clinical Medical Laboratory	$5.4M	$14.4M
University Of Alabama Health Services Foundation PC	AL	Clinic/Center	$0	$18.6M
Jefferson County Board Of Health	AL	Public Health or Welfare Agency	$0	$12.2M
The Children's Hospital Of Alabama	AL	Psychologist	$0	$12M
The Children's Hospital Of Alabama	AL	Pediatrics Physician	$0	$7.5M

M&o Enterprises 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