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.

Medcare Equipment Company, LLC (NPI 1821274382)

Field	Value
Entity Type	Organization
Organization	Medcare Equipment Company, LLC
Address	1400 Randall Ct Ste 101
City	Export
State	PA
ZIP	15632
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	January 15, 2008

Payer Source	Total Paid
Medicaid	$79.4M
Medicare	$0

Key Findings

This entity has no Medicare billing on file and reports $79.4M in lifetime Medicaid revenue, making it effectively a Medicaid-focused DME supplier rather than a mixed-payer provider. The absence of Medicare revenue means analyses of its market exposure and reimbursement risk should be centered on state Medicaid policy and contracting dynamics rather than federal Medicare trends.

Revenue is highly concentrated: the top three Medicaid codes (E1390, E0465, A7030) together account for 46.1% of the provider's Medicaid revenue. Individually those codes are E1390: $19.6M (31.2%), E0465: $5.1M (8.1%), and A7030: $4.3M (6.8%), indicating that oxygen concentrators and ventilator/PAP-related equipment drive nearly half of earnings.

The provider’s code mix indicates a clear operational focus on home respiratory care and PAP therapy: E1390 (oxygen concentrator), E0465/E0466 (home ventilators), and multiple PAP device and interface codes (A7030, E0601, A7034, A7035) dominate the revenue and claim counts. This pattern—high-volume concentrator claims plus substantial ventilator and PAP supply activity—characterizes a DME operation organized around oxygen delivery, ventilator support, device rentals and ongoing consumable supplies.

Operational volume metrics reinforce a supply- and rental-heavy business model: E1390 shows 217.4K claims, E0601 61.9K claims, A7035 67.4K claims and A4604 65.7K claims—each reflecting very large unit volumes rather than a small number of high-dollar procedures. The presence of rental codes such as K0738 and E0431 with high claim counts further supports that a large portion of revenue comes from ongoing equipment rentals and recurring consumable replacements.

State-level competitive standing is dominant for many respiratory categories: E1390 ranks #1 of 159 providers in-state (100th percentile; extreme outlier), A7030 ranks #1 of 113 (100th percentile; extreme outlier), A7034 and A7035 also rank #1 of their peer groups at the 100th percentile. E0601 ranks #2 of 140 (99th percentile; extreme outlier), underscoring that the provider is a major, often market-leading supplier of oxygen and PAP-related products in Pennsylvania.

Ventilator-related services are a meaningful secondary revenue line but less uniquely dominant: E0465 (home ventilator, invasive interface) generated $5.1M and ranks #2 of 11 in-state (90th percentile; typical, unremarkable volume), while E0466 (non-invasive interface) produced $2.5M and ranks #5 of 35 (88th percentile; typical, unremarkable volume). This suggests the provider serves a significant ventilator population but faces more competition in that niche than in oxygen concentrators and PAP supplies.

The provider’s product breadth extends beyond respiratory equipment into mobility and personal-care DME: E0260 (semi-electric hospital bed) generated $1.8M and ranks #1 of 85 (100th percentile; extreme outlier), K0001 (standard wheelchair) generated $978.9K and ranks #1 of 86 (100th percentile; extreme outlier), and E0603 (electric breast pump) produced $1.8M and ranks #4 of 32 (90th percentile; typical, unremarkable volume). These findings indicate a diversified catalog of DME lines alongside its respiratory core.

The NPI was enumerated on 2008-01-15 (~18 years ago), indicating long tenure in the market. Combined with the provider’s dominant state-level ranks and heavy reliance on Medicaid ($79.4M lifetime Medicaid revenue with no Medicare billing), the business appears well-established in Pennsylvania but concentrated in state payer dynamics—meaning reimbursement or policy shifts at the state Medicaid level could have outsized impact on its revenue profile.

Medicaid: Complete Services Breakdown

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

193 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	217,410	$90	$19.6M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	5,560	$910	$5.1M
A7030	Full face mask used with positive airway pressure device, each	42,430	$100	$4.3M
E0601	Continuous positive airway pressure (CPAP) device	61,910	$60	$4M
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	4,710	$520	$2.5M
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	34,360	$70	$2.3M
A4604	Tubing with integrated heating element for use with positive airway pressure device	65,730	$30	$2.2M
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	33,880	$50	$1.8M
E0603	Breast pump, electric (ac and/or dc), any type	9,550	$190	$1.8M
E0570	Nebulizer, with compressor	48,950	$40	$1.8M

Showing 1–10 of 193

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

Medcare Equipment Company, LLC — 15 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

193 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	4	10	15,030	$320	$8.5M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	2	10	700	$1,390	$4.6M
E1399	Durable medical equipment, miscellaneous	11	40	350	$540	$1.4M
A6197	Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing	5	10	5,020	$160	$1.2M
A4353	Intermittent urinary catheter, with insertion supplies	10	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	5	10	2,090	$420	$1.1M
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	5	40	720	$490	$915.2K
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	6	30	1,460	$130	$845.1K
E0565	Compressor, air power source for equipment which is not self-contained or cylinder driven	2	10	1,250	$710	$830.3K
A6253	Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing	5	10	5,740	$110	$721.5K

Showing 1–10 of 193

Nearby Providers

Other providers in the same ZIP code as Medcare Equipment Company, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Palaniappan Muthappan	PA	Internal Medicine Physician	$436.7K	$427.7K

Medcare Equipment Company, LLC — Billing Profile & Reimbursement Data

Sign up for Medcare Equipment Company, LLC — Billing Profile & Reimbursement Data policy alerts

Medcare Equipment Company, LLC — Billing Profile & Reimbursement Data

Sign up for Medcare Equipment Company, 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

Nearby Providers

Frequently Asked Questions

References