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

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

Procare Home Medical, Inc. (NPI 1780625533)

Field	Value
Entity Type	Organization
Organization	Procare Home Medical, Inc.
Address	4215 Credit Union Dr
City	Anchorage
State	AK
ZIP	99503
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	June 10, 2006

Payer Source	Total Paid
Medicaid	$32.5M
Medicare	$0

Key Findings

PROCARE HOME MEDICAL, INC. is effectively a Medicaid-focused DME/supplies provider: the profile shows no Medicare billing on file and $32.5M in lifetime Medicaid revenue, indicating the business generates its entire reported federal payer volume from Medicaid rather than Medicare. The NPI was enumerated on 2006-06-10 (~20 years ago), signaling long tenure in the market and an established operating presence in Anchorage, AK.

Revenue concentration is significant within a few product lines: the precomputed top 3 Medicaid codes by revenue account for 25.6% of this provider's total Medicaid revenue, led by E1390 (28.4K claims, $79 avg paid/claim, $2.2M revenue, 8.8%), B4161 (4.9K claims, $448 avg paid/claim, $2.2M revenue, 8.6%), and T1999 (55.7K claims, $37 avg paid/claim, $2.1M revenue, 8.1%). This concentration implies that a quarter of Medicaid revenue is driven by a small set of high-volume respiratory, enteral, and miscellaneous supply codes.

The code mix indicates core service lines in home respiratory care: E1390 (oxygen concentrator, single port), E0466 (home ventilator, non-invasive), E0601 (CPAP device), and E1392 (portable oxygen concentrator rental) together represent several of the highest-volume and highest-ranked Medicaid codes for this provider. These volumes (for example E1390 28.4K claims and E0466 3.4K claims) point to a business operating significant respiratory equipment rentals/sales and associated consumables for long-term home respiratory management.

PROCARE also shows a strong enteral nutrition supply business: high-revenue enteral codes such as B4161 (4.9K claims, $2.2M revenue), B4160 (10.6K claims, $2M revenue), and B4035 (5K claims, $1M revenue) appear among the top Medicaid drivers. The presence of multiple enteral formula and supply codes with sizable claim counts and revenue suggests substantial pediatric and pump-fed enteral support services in their Medicaid patient mix.

Incontinence and general DME supplies are another major activity area: T1999 (55.7K claims, $2.1M revenue), T4535 (25.5K claims, $1.5M revenue), T4541 (31.8K claims, $1.3M revenue), and A9999 (40.9K claims, $1.1M revenue) all show very large claim volumes and material revenue shares. Many of these codes are flagged as "notably above typical state volume," indicating sustained, high-volume distribution of consumable products like disposable incontinence items and miscellaneous DME accessories.

Competitive standing in-state is consistently strong: the provider ranks #1 of peers for a long list of Medicaid codes (many showing "100th percentile"), including E1390, B4161, T1999, multiple T45xx codes, and A9999. That pattern—top rank across diverse code families—characterizes PROCARE as a dominant or major statewide supplier of multiple DME categories rather than a modest participant.

There are mixed signals in statistical characterization across codes: several top codes are explicitly noted as "notably above typical state volume" (examples include E1390, T1999, T4535, T4541), while some enteral codes such as B4161, B4160 and B4035 are described as "typical, unremarkable volume" despite being top revenue contributors. This combination suggests the provider dominates high-volume consumable and respiratory lines relative to peers while competing more conventionally on certain specialized enteral products.

Operational and payer-mix implications: because there is no Medicare billing on file and all reported federal revenue is Medicaid ($32.5M), the provider faces concentrated payer exposure to Medicaid policy, reimbursement changes, and state-level contracting dynamics. Coupled with the fact that a quarter of Medicaid revenue is driven by the top three codes (25.6%), business performance may be sensitive to changes in reimbursement or utilization rules for a small set of high-impact DME and supply codes.

Medicaid: Complete Services Breakdown

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

121 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	28,370	$80	$2.2M
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…	4,910	$450	$2.2M
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	55,740	$40	$2.1M
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,…	10,600	$190	$2M
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	3,390	$470	$1.6M
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	25,480	$60	$1.5M
T4541	Incontinence product, disposable underpad, large, each	31,790	$40	$1.3M
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	9,290	$140	$1.3M
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	9,910	$120	$1.2M
A9999	Miscellaneous dme supply or accessory, not otherwise specified	40,860	$30	$1.1M

Showing 1–10 of 121

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alaska Distribution

Procare Home Medical, Inc. — 24 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. Alaska median

121 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	1	10	1,810	$470	$849K
T4543	Adult sized disposable incontinence product, protective brief/diaper, above extra large, each	1	10	1,350	$610	$816.6K
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	360	$450	$792.6K
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,…	1	10	1,130	$180	$749.5K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	1	10	5,060	$40	$502.9K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	1	10	2,210	$80	$452.6K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	1	10	590	$210	$390.8K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	1	10	2,390	$60	$357.9K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	1	10	940	$140	$352.6K
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	3,050	$110	$340K

Showing 1–10 of 121

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Procare Home Medical, Inc.	AK	Durable Medical Equipment & Medical Supplies	$0	$3.3M
Procare Home Medical, Inc.	AK	Durable Medical Equipment & Medical Supplies	$0	$1.8M

Nearby Providers

Other providers in the same ZIP code as Procare Home Medical, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anchorage Neighborhood Health Center, Inc.	AK	Federally Qualified Health Center (FQHC)	$0	$28.2M
Absolute Care Of Alaska, LLC.	AK	In Home Supportive Care Agency	$0	$23.4M
Hearts And Hands, Inc	AK	Home Health Agency	$0	$22.5M
Alaska Hospitalist Group LLC	AK	Internal Medicine Physician	$0	$18.6M
Arctic Care Services	AK	Home Health Agency	$0	$17.7M
Turnagain Social Club	AK	Alzheimer Center (Dementia Center)	$0	$15.2M
Akeela Inc	AK	Substance Abuse Rehabilitation Facility	$0	$14.4M
Shine Bright Care, LLC	AK	In Home Supportive Care Agency	$0	$13.7M
Easter Seals Of Alaska	AK	Home Health Agency	$0	$13.6M
Wchs, Inc.	AK	Methadone Clinic	$238.5K	$13.2M

Procare Home Medical, Inc. — Billing Profile & Reimbursement Data

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Procare Home Medical, 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