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Med Star Surgical & Breathing Equipment Inc.

Prosthetic/Orthotic Supplier·Bronx, NY·NPI: 1437154010Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$138.9M

$138,917,051

Total Claims

4.7M

Beneficiaries

4.6M

1.0 claims/patient

Avg Cost/Claim

$30

#799 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Med Star Surgical & Breathing Equipment Inc. is a Prosthetic/Orthotic Supplier provider based in Bronx, NY. From the 2018–2024 period, this provider received $138.9M in Medicaid payments across 4.7M claims.

Why This Matters

This provider received $138.9M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 17,364 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 232% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$8.8M
+27%
2019
$11.2M
+26%
2020
$14.2M
+20%
2021
$16.9M
+45%
2022
$24.6M
+38%
2023
$33.9M
-13%
2024
$29.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (E1390 (Oxygen concentrator, single delivery port)) accounts for 10% of total spending.

E1390Normal range

Oxygen concentrator, single delivery port

$13.8M

257K claims · 10.0%

Your Cost: $53.70/claim|Median: $45.11
1.2× median
A4554Normal range

Disposable underpads, all sizes

$11.9M

439K claims · 8.6%

Your Cost: $27.04/claim|Median: $37.02
0.7× median
T4523Normal range

Adult-sized disposable incontinence product, brief/diaper, small

$8.6M

181K claims · 6.2%

Your Cost: $47.59/claim|Median: $96.13
0.5× median
E0466Top 25%

Home ventilator, any type, used with non-invasive interface

$6.7M

13K claims · 4.8%

Your Cost: $500.94/claim|Median: $317.50
1.6× median
T4522Normal range

Adult-sized disposable incontinence product, brief/diaper, above XL

$5.6M

168K claims · 4.0%

Your Cost: $33.33/claim|Median: $84.50
0.4× median
E0603Normal range

Breast pump, electric, any type

$5.2M

33K claims · 3.7%

Your Cost: $156.62/claim|Median: $131.70
1.2× median
T4524Normal range

Adult-sized disposable incontinence product, brief/diaper, medium

$5.1M

90K claims · 3.6%

Your Cost: $55.98/claim|Median: $108.31
0.5× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$5.0M

111K claims · 3.6%

Your Cost: $44.98/claim|Median: $35.30
1.3× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$4.7M

324K claims · 3.4%

Your Cost: $14.64/claim|Median: $42.03
0.3× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$3.4M

106K claims · 2.4%

Your Cost: $31.82/claim|Median: $31.59
1.0× median
A7030Normal range

Full face mask for CPAP device

$2.6M

44K claims · 1.8%

Your Cost: $58.51/claim|Median: $56.36
1.0× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$2.6M

25K claims · 1.8%

Your Cost: $103.29/claim|Median: $177.75
0.6× median
K0001Normal range

Standard wheelchair

$2.5M

249K claims · 1.8%

Your Cost: $10.04/claim|Median: $12.27
0.8× median
E0260Normal range

Hospital bed, semi-electric

$2.2M

137K claims · 1.6%

Your Cost: $16.17/claim|Median: $23.07
0.7× median
T4537Normal range

$2.2M

122K claims · 1.6%

Your Cost: $17.99/claim|Median: $31.50
0.6× median
T4533Normal range

Adult disposable incontinence product, youth or small

$2.1M

28K claims · 1.5%

Your Cost: $76.29/claim|Median: $87.25
0.9× median
E0431Normal range

Portable gaseous oxygen system, rental

$2.1M

171K claims · 1.5%

Your Cost: $12.15/claim|Median: $10.37
1.2× median
E0562Top 25%

Humidifier, heated, used with positive airway pressure device

$2.0M

26K claims · 1.4%

Your Cost: $77.60/claim|Median: $18.68
4.2× median
A7031Top 25%

$2.0M

48K claims · 1.4%

Your Cost: $40.76/claim|Median: $25.17
1.6× median
E0261Top 25%

$1.6M

48K claims · 1.2%

Your Cost: $34.15/claim|Median: $19.15
1.8× median
E0465Normal range

Home ventilator, any type, used with invasive interface

$1.6M

3K claims · 1.2%

Your Cost: $528.78/claim|Median: $583.21
0.9× median
A7032Top 25%

$1.6M

38K claims · 1.2%

Your Cost: $42.49/claim|Median: $25.48
1.7× median
E0277Normal range

$1.6M

12K claims · 1.1%

Your Cost: $133.07/claim|Median: $92.82
1.4× median
E0240Normal range

$1.6M

51K claims · 1.1%

Your Cost: $30.80/claim|Median: $62.75
0.5× median
E0630Normal range

$1.5M

59K claims · 1.1%

Your Cost: $26.25/claim|Median: $23.70
1.1× median
E0247Normal range

$1.4M

19K claims · 1.0%

Your Cost: $72.52/claim|Median: $75.27
1.0× median
T4521Normal range

$1.3M

28K claims · 1.0%

Your Cost: $48.34/claim|Median: $81.60
0.6× median
E2611Normal range

General wheelchair seat cushion, width less than twenty-two inches

$1.3M

21K claims · 1.0%

Your Cost: $64.11/claim|Median: $61.71
1.0× median
E0163Normal range

$1.3M

43K claims · 1.0%

Your Cost: $30.73/claim|Median: $27.98
1.1× median
K0003Normal range

$1.3M

70K claims · 0.9%

Your Cost: $18.00/claim|Median: $18.14
1.0× median

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