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

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

Pediatric Home Respiratory Services LLC (NPI 1932266632)

Field	Value
Entity Type	Organization
Organization	Pediatric Home Respiratory Services LLC
Address	2800 Cleveland Ave N
City	Roseville
State	MN
ZIP	55113
Taxonomy	Home Infusion Therapy Pharmacy
NPI Enumerated	January 2, 2007

Payer Source	Total Paid
Medicaid	$14.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J1559	Injection, immune globulin (hizentra), 100 mg	3,270	$1,500	$4.9M
S9061	Home administration of aerosolized drug therapy (e.g., pentamidine); administrative services, professional pharmacy services, care coordination, all necessary supplies and equipment (drugs and…	7,950	$300	$2.3M
S9590	Home therapy, irrigation therapy (e.g., sterile irrigation of an organ or anatomical cavity); including administrative services, professional pharmacy services, care coordination, and all necessary…	6,970	$240	$1.7M
J3490	Unclassified drugs	24,340	$50	$1.2M
99601	The provider visits the patient at home to provide an infusion or administer a specialty drug. Use this code for up to the first two hours of a visit.	9,860	$120	$1.2M
S9542	Home injectable therapy, not otherwise classified, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing…	8,370	$70	$610.9K
S9379	Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and…	4,970	$110	$537.2K
B4185	Parenteral nutrition solution, not otherwise specified, 10 grams lipids	3,890	$140	$529.2K
J7682	Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams	610	$490	$299.4K
99602	The provider visits the patient at home to provide an infusion or administer a specialty drug. Use this code for each additional hour of the visit after the first two hours.	2,340	$100	$236.4K

Showing 1–10 of 19

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Minnesota Distribution

Pediatric Home Respiratory Services LLC — 6 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9061	Home administration of aerosolized drug therapy (e.g., pentamidine); administrative services, professional pharmacy services, care coordination, all necessary supplies and equipment (drugs and…	1	10	7,950	$300	$2.3M
J1559	Injection, immune globulin (hizentra), 100 mg	1	10	230	$1,500	$1.8M
S9590	Home therapy, irrigation therapy (e.g., sterile irrigation of an organ or anatomical cavity); including administrative services, professional pharmacy services, care coordination, and all necessary…	1	10	6,970	$240	$1.7M
S9379	Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and…	2	10	7,440	$110	$790.5K
S9542	Home injectable therapy, not otherwise classified, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing…	1	10	8,370	$70	$608K
99601	The provider visits the patient at home to provide an infusion or administer a specialty drug. Use this code for up to the first two hours of a visit.	2	10	360	$120	$548.9K
A4217	Sterile water/saline, 500 ml	4	10	840	$120	$431.9K
S9374	Home infusion therapy, hydration therapy; one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing…	3	10	540	$200	$364.4K
J7682	Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams	1	10	610	$490	$299.5K
B4185	Parenteral nutrition solution, not otherwise specified, 10 grams lipids	1	10	1,460	$120	$218.6K

Showing 1–10 of 19

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pediatric Home Respiratory Services LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Home Respiratory Services LLC	MN	Durable Medical Equipment & Medical Supplies	$0	$197.4M
Vgm Group, Inc.	IA	Durable Medical Equipment & Medical Supplies	$0	$54.4M

Nearby Providers

Other providers in the same ZIP code as Pediatric Home Respiratory Services LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Acr Homes, Inc.	MN	Adult Care Home Facility	$0	$156M
Ablenet Inc	MN	Durable Medical Equipment & Medical Supplies	$0	$114.5M
Presbyterian Homes And Services	MN	Home Health Agency	$0	$37.9M
Midwest Radiology, PA	MN	Diagnostic Radiology Physician	$0	$31.2M
Brain Injury Association Of Minnesota	MN	Case Management Agency	$0	$26.9M
Sasaki Medical LLC	MN	Addiction Medicine (Family Medicine) Physician	$0	$24M
Minnesota Epilepsy Group PA	MN	Neurology Physician	$0	$9.2M
Roseville Ops LLC	MN	Assisted Living Facility	$0	$6.6M
Presbyterian Homes Hospice Inc	MN	Exclusive Provider Organization	$0	$5.5M
Option Care Enterprises, Inc.	MN	Home Infusion Therapy Pharmacy	$0	$5.4M

Pediatric Home Respiratory Services LLC — Billing Profile & Reimbursement Data

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Pediatric Home Respiratory Services LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References