J&b Medical Supply CO INC
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 10 procedure codes: K0553 at 4.5× median, A4239 at 3.5× median.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Rate Outlier
Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Advanced Detection Signals
Additional statistical tests from advanced fraud detection methods
These signals use advanced statistical methods including digit distribution analysis, change-point detection, and market concentration metrics. Learn more.
Risk Assessment
Bills $241.32 per claim for K0553 (Supply allowance for therapeutic CGM, per month) — 4.5× the national median of $53.20.
Bills $254.78 per claim for A4239 (Supply allowance for non-insulin pump CGM, per month) — 3.5× the national median of $73.75.
Bills $36.78 per claim for A4253 (Blood glucose test strips) — 5.3× the national median of $6.92.
Billing above the 90th percentile for 2 procedure codes simultaneously.
This is a statistical summary, not an accusation. See our methodology.
Compared to Durable Medical Equipment & Medical Supplies Peers
Total spending distribution among 35 providers in this specialty
This provider's total spending of $339.0M is at the 90th percentile among 35 Durable Medical Equipment & Medical Supplies providers.
Above 90th percentile for this specialty — higher spending than 31 of 35 peers
Total Paid
$339.0M
$338,970,874
Total Claims
8.2M
Beneficiaries
7.7M
1.1 claims/patient
Avg Cost/Claim
$41
#204 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
J&b Medical Supply CO INC is a Durable Medical Equipment & Medical Supplies provider based in Wixom, MI. From the 2018–2024 period, this provider received $339.0M in Medicaid payments across 8.2M claims.
Why This Matters
This provider received $339.0M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 42,371 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 30 distinct procedure codes. The top code (A4927 (Gloves, non-sterile, per 100)) accounts for 8% of total spending.
Gloves, non-sterile, per 100
$26.4M
1.8M claims · 7.8%
$24.8M
344K claims
$71.99
$110.54
Adult-sized disposable underpads/pads, small
$24.8M
344K claims · 7.3%
$22.8M
381K claims
$60.00
$88.94
Adult-sized disposable incontinence product, medium
$22.8M
381K claims · 6.7%
$21.7M
344K claims
$62.92
$99.53
Adult-sized disposable incontinence product, large
$21.7M
344K claims · 6.4%
$21.4M
759K claims
$28.17
$42.03
Adult-sized disposable underpads/pads, large
$21.4M
759K claims · 6.3%
$20.0M
271K claims
$73.71
$105.14
Adult-sized disposable incontinence product, extra-large
$20.0M
271K claims · 5.9%
$19.0M
1.1M claims
$16.88
$41.28
Pediatric-sized disposable incontinence product, large
$19.0M
1.1M claims · 5.6%
$16.8M
66K claims
$255.57
$294.58
Breath test analyzer, FDA approved, disposable
$16.8M
66K claims · 5.0%
$12.4M
186K claims · 3.7%
$11.7M
48K claims
$241.32
$53.20
Supply allowance for therapeutic CGM, per month
$11.7M
48K claims · 3.5%
$11.3M
195K claims
$58.01
$84.50
Adult-sized disposable incontinence product, brief/diaper, above XL
$11.3M
195K claims · 3.3%
$10.0M
3K claims
$3,409.53
$1,188.30
External ambulatory infusion pump, insulin
$10.0M
3K claims · 3.0%
$9.8M
145K claims
$67.16
$96.13
Adult-sized disposable incontinence product, brief/diaper, small
$9.8M
145K claims · 2.9%
$9.5M
94K claims
$101.00
$116.15
Intermittent urinary catheter, straight tip, each
$9.5M
94K claims · 2.8%
$8.8M
97K claims
$90.39
$171.64
Pediatric-sized disposable underpads/pads, small
$8.8M
97K claims · 2.6%
$8.5M
78K claims
$109.62
$136.09
Infusion supplies, non-chemotherapy, per visit
$8.5M
78K claims · 2.5%
$8.2M
32K claims
$254.78
$73.75
Supply allowance for non-insulin pump CGM, per month
$8.2M
32K claims · 2.4%
$7.4M
118K claims · 2.2%
$5.9M
97K claims · 1.8%
$5.8M
66K claims
$87.10
$108.31
Adult-sized disposable incontinence product, brief/diaper, medium
$5.8M
66K claims · 1.7%
Blood glucose test strips
$5.5M
149K claims · 1.6%
$5.1M
12K claims
$416.77
$508.29
Intermittent urinary catheter, with insertion supplies
$5.1M
12K claims · 1.5%
$5.0M
214K claims · 1.5%
$4.7M
33K claims
$143.70
$177.75
Pediatric-sized disposable incontinence product, above XL
$4.7M
33K claims · 1.4%
$4.2M
10K claims
$423.49
$466.16
External ambulatory insulin delivery system, disposable
$4.2M
10K claims · 1.2%
$3.9M
15K claims · 1.1%
$3.2M
7K claims
$479.78
$407.76
Breath alcohol test, per administration
$3.2M
7K claims · 0.9%
Personal care item, NOS, each
$3.0M
427K claims · 0.9%
$2.2M
77K claims · 0.7%
$1.6M
26K claims · 0.5%
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