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

Why is the Medicaid comparison limited to Wisconsin 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. Wisconsin (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 Care Medical, Inc (NPI 1851328157)

Field	Value
Entity Type	Organization
Organization	Home Care Medical, Inc
Address	5665 S Westridge Dr
City	New Berlin
State	WI
ZIP	53151
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	June 26, 2006

Payer Source	Total Paid
Medicaid	$26.4M
Medicare	$0

Key Findings

HOME CARE MEDICAL, INC reports no Medicare billing on file and instead generates its entire reported federal payer revenue from Medicaid, totaling $26.4M. This effectively makes the organization a Medicaid-focused DME supplier in Wisconsin rather than a mixed Medicare/Medicaid operator, so its financial performance will be highly sensitive to state Medicaid reimbursement and authorization practices.

Revenue concentration is significant: the precomputed top 3 Medicaid codes by revenue account for 40.4% of this provider's total Medicaid revenue. Those top three codes are E1390 ($3.9M, 18.8%), E0465 ($2.8M, 13.2%), and A7030 ($1.7M, 8.3%), indicating that a relatively small set of respiratory and interface-related items drive a large share of reported Medicaid revenue.

The code mix points clearly to a respiratory and sleep-apnea-focused DME operation with ancillary enteral nutrition lines. High-revenue items include E1390 (oxygen concentrators), E0465/E0466 (home ventilators), and a cluster of CPAP and mask/interface supplies (A7030, A7034, A7037, A7031, A7035), while enteral nutrition supplies (B4035, B4152, B4149) provide a meaningful secondary revenue stream. Together these codes suggest the business model centers on durable oxygen/ventilation equipment plus high-volume consumable interfaces and some enteral feeding services.

HOME CARE MEDICAL is a dominant statewide supplier for many of its top codes: it ranks #1 of 72 providers for E1390 (100th percentile; extreme outlier), #1 of 5 for E0465 (100th percentile; notably above typical state volume), and #1 of 76 for A7030 (100th percentile; extreme outlier). Multiple other high-volume codes (E0431, A7034, A7037, A7031, A7035, E0143, E0114) are also 100th-percentile or near it, confirming market leadership in Wisconsin for both core equipment rentals and the corresponding mask/tubing consumables.

Operational scale is evident from high claim counts as well as dollar volumes on several line items: E1390 shows 85.1K claims, E0431 shows 49K claims, and A7030 shows 24.4K claims, each contributing materially to revenue. Those high claim volumes combined with rental and recurring-supply items imply a logistics- and inventory-intensive operation that must manage device distribution, rentals, and frequent replacement of consumable interfaces.

While respiratory products dominate, the provider also reports meaningful enteral feeding business that is more typical in-state: B4035 accounts for $1M (4.9%) and ranks #4 of 20 providers (84th percentile), and other enteral codes (B4152, B4149, B4160) contribute additional, smaller shares. This mix indicates diversification into nutrition-related supplies but with less competitive dominance in those sub-lines versus the respiratory space.

The provider has been enumerated since 2006-06-26 (~20 years ago), which, combined with its top-state rankings on many codes, suggests an established presence and likely long-standing contracting relationships within Wisconsin Medicaid. That tenure helps explain sustained high volumes on core respiratory and CPAP interface codes.

Because HOME CARE MEDICAL relies exclusively on Medicaid billing ($26.4M reported) and a concentrated set of high-revenue codes (top 3 = 40.4%), changes in state Medicaid policy, reimbursement rates, or utilization management for oxygen, ventilators, or CPAP supplies could disproportionately affect its revenue. Several of its largest codes are labeled as “extreme outlier” or “notably above typical” in-state volumes, underlining both its market dominance and the sensitivity of overall revenue to shifts in a narrow set of services.

Medicaid: Complete Services Breakdown

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

163 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	85,090	$50	$3.9M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	6,430	$430	$2.8M
A7030	Full face mask used with positive airway pressure device, each	24,420	$70	$1.7M
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	49,040	$40	$1.7M
E0601	Continuous positive airway pressure (CPAP) device	32,240	$30	$1.1M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	8,310	$120	$1M
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	2,110	$400	$849.8K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	19,300	$40	$810.6K
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include…	5,590	$120	$676.6K
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	2,490	$260	$638K

Showing 1–10 of 163

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wisconsin Distribution

Home Care Medical, Inc — 18 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

163 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A7507	Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each	2	10	32,150	$60	$2.1M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	1	10	1,140	$440	$999.5K
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	5	10	2,610	$310	$912.3K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	4	20	530	$140	$543.1K
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,…	4	10	1,870	$150	$413.2K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	1	70	4,670	$40	$311K
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	5	10	2,720	$60	$291.8K
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	2	20	870	$240	$248K
A7520	Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each	2	10	570	$30	$201.2K
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include…	2	10	350	$110	$177.7K

Showing 1–10 of 163

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Care Medical, Inc	WI	Oxygen Equipment & Supplies (DME)	$0	$1.2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Atos Medical Inc.	WI	Durable Medical Equipment & Medical Supplies	$0	$9.5M
Jill Rudman	WI	Clinical Psychologist	$0	$5.3M
Paragon Community Services LLC	WI	Community/Behavioral Health Agency	$0	$4.9M
Ejlal Alalawi	WI	Dentist	$0	$2.3M
Specialized Medical Services, Inc.	WI	Durable Medical Equipment & Medical Supplies	$0	$2.1M
City Of New Berlin	WI	Ambulance	$258K	$210.6K
Muhammad Iqbal	WI	Infectious Disease Physician	$219.2K	$196.9K
White Drug Enterprises Inc	WI	Long Term Care Pharmacy	$82.4K	$176.7K
Kim Wolf	WI	Nurse Practitioner	$39K	$148.6K
David Crosby	WI	Dermatology Physician	$181.6K	$0

Home Care 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