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    OpenPayerNPI Medicare & MedicaidHometown Oxygen Charlotte LLC
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    Hometown Oxygen Charlotte LLC — Billing Profile & Reimbursement Data

    NPI 1871738153 · Concord, NC · Oxygen Equipment & Supplies (DME)

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    Hometown Oxygen Charlotte LLC is a oxygen equipment & supplies (dme) provider located in Concord, North Carolina. This profile covers 0 Medicare and 82 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationHometown Oxygen Charlotte LLC
    Address369 Concord Pkwy N
    CityConcord
    StateNC
    ZIP28027
    TaxonomyOxygen Equipment & Supplies (DME)
    NPI EnumeratedDecember 15, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$83.8M
    Medicare$0

    Key Findings

    HOMETOWN OXYGEN CHARLOTTE LLC is effectively a single-payer provider in the available files: it has no Medicare billing on file and reports $83.8M in lifetime Medicaid revenue, indicating its scale and claims activity are concentrated in the Medicaid program rather than split across Medicare and Medicaid. This payer mix suggests analyses and network strategies should treat the entity as primarily Medicaid-facing.

    Revenue is highly concentrated in a few high-value Medicaid codes: the top three codes (E0465, B4035, E0445) together account for 42.6% of the provider's total Medicaid revenue. Individually those codes are E0465 with $15.9M revenue (20.1%), B4035 with $9.8M revenue (12.4%), and E0445 with $8M revenue (10.2%), so a large share of dollars flows through ventilator, enteral supply-kit, and oximeter lines.

    The code mix indicates the business is centered on chronic respiratory support and enteral nutrition services: E0465 (home ventilator, invasive interface), E0466 (home ventilator, non-invasive), E1390 (oxygen concentrator), and E0445 (oximeter) point to a strong ventilatory and oxygen equipment operation, while B4035 and pediatric enteral codes like B4161 and B4160 show substantial enteral feeding and pediatric nutrition activity. This combination is consistent with a DME supplier that manages complex respiratory patients and pediatric enteral nutrition populations.

    State-level competitive standing is dominant across many Medicaid DME buckets: the provider ranks #1 in-state for numerous high-volume codes and is repeatedly described as an “extreme outlier” or “notably above typical state volume.” Representative #1 rankings at the state level include E0465, B4035, E0445, B4161, A4483, E1399 and many tracheostomy and supply codes, indicating the provider is a market leader in multiple DME categories within North Carolina.

    Several specific supplies and consumables also show outsized state shares, underlining a broad supply-chain footprint rather than narrow specialization: codes such as A4624 (tracheal suction catheter) $1.8M, A4217 (sterile water/saline) $1.7M, A4629 (tracheostomy care kit) $1.5M, B4088 (gastrostomy tube) $1.3M, and E0431 (portable gaseous oxygen rental) $1.1M are all high-volume lines where the provider ranks at or near the top in-state, often labeled “extreme outlier” in volume. This pattern suggests the provider captures both durable equipment and high-frequency accessory/supply demand.

    The operation shows both high-volume rental activity and significant pediatric enteral volume: E0431 (portable gaseous oxygen system, rental) appears with 48.3K claims and $1.1M revenue (1.4%) while pediatric enteral codes B4161 ($7.7M, 9.8%) and B4160 ($2.2M, 2.7%) together demonstrate material pediatric nutrition throughput. These mix details imply the provider handles recurring consumable supply chains and rental logistics at scale, not just one-time device sales.

    Not all high-revenue codes are absolute monopolies: for example, E1390 (oxygen concentrator) generates $6.5M (8.2%) and ranks #6 of 164 providers in-state (97th percentile), and E0466 (non-invasive home ventilator) generates $4.8M (6.1%) and ranks #3 of 56 (96th percentile). Those ranks indicate very strong placement but also meaningful competition exists for some major equipment lines, which could be important when evaluating contracting or competitive capture strategies.

    The provider is long-tenured in the NPI registry, enumerated on 2008-12-15 (~18 years ago), which aligns with the deep, statewide claim volumes and numerous #1 in-state rankings; this tenure supports the interpretation that current dominance in multiple DME and enteral categories is the result of sustained operations rather than a transient spike. For payer or network planning, longevity combined with concentrated Medicaid revenue suggests established referral and supply relationships within the state Medicaid ecosystem.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    82 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    E0465Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)15,900$1,000$15.9M
    B4035Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape37,910$260$9.8M
    E0445Oximeter device for measuring blood oxygen levels non-invasively52,270$150$8M
    B4161Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…19,440$400$7.7M
    E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate47,530$140$6.5M
    E0466Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)5,960$810$4.8M
    B4149Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…10,380$340$3.5M
    A4483Moisture exchanger, disposable, for use with invasive mechanical ventilation9,860$290$2.9M
    E1399Durable medical equipment, miscellaneous22,760$110$2.5M
    B4160Enteral 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,…17,280$130$2.2M

    Showing 1–10 of 82

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. North Carolina median

    82 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    E0465Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)1201,290$750$2M
    B4161Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…1303,090$330$1.5M
    T4533Youth sized disposable incontinence product, brief/diaper, each10102,130$90$1.2M
    E1399Durable medical equipment, miscellaneous120470$480$1.2M
    B4149Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…1201,770$320$954.7K
    B4035Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape1503,660$140$902.9K
    E0466Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)3601,000$350$612.2K
    E0445Oximeter device for measuring blood oxygen levels non-invasively1401,020$150$584.2K
    T4530Pediatric sized disposable incontinence product, brief/diaper, large size, each1020800$80$545.6K
    E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate61606,970$40$504.9K

    Showing 1–10 of 82

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Hometown Oxygen Charlotte LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hometown Oxygen Charlotte, LLCNCOxygen Equipment & Supplies (DME)$0$20.1M

    Nearby Providers

    Other providers in the same ZIP code as Hometown Oxygen Charlotte LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Independent Opportunities, IncNCCommunity/Behavioral Health Agency$0$22.1M
    Mmi Holdings LLCNCDurable Medical Equipment & Medical Supplies$0$8.3M
    Mpv Enterprises, LLCNCAssisted Living Facility$0$7.7M
    Secure Direction Nc, LLC.NCCommunity/Behavioral Health Agency$0$7.2M
    County Of Cabarrus Office Of TreasurerNCLand Ambulance$1.7M$5.1M
    Truecarerx, LLCNCCommunity/Retail Pharmacy$116.1K$183.3K
    Swathi GopalaNCPhysical Therapist$141.7K$0
    Emily WombleNCPhysician Assistant$49.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. North Carolina Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Carolina Distribution
    Hometown Oxygen Charlotte LLC — 21 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina