Advanced Respiratory, Inc.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 3 procedure codes: E0483 at 2.4× median, E0482 at 1.6× 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.
Risk Assessment
Bills $1,349.20 per claim for E1399 (Durable medical equipment, miscellaneous) — 13.0× the national median of $104.06.
Billing above the 90th percentile for 3 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 $204.4M is at the 50th percentile among 35 Durable Medical Equipment & Medical Supplies providers.
Total Paid
$204.4M
$204,354,683
Total Claims
295K
Beneficiaries
266K
1.1 claims/patient
Avg Cost/Claim
$692
#440 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Advanced Respiratory, Inc. is a Durable Medical Equipment & Medical Supplies provider based in Saint Paul, MN. From the 2018–2024 period, this provider received $204.4M in Medicaid payments across 295K claims.
Why This Matters
This provider received $204.4M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 25,544 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 7 distinct procedure codes. The top code (E0483 (High-frequency chest wall oscillation air-pulse generator system)) accounts for 87% of total spending.
$176.8M
225K claims
$786.33
$321.50
High-frequency chest wall oscillation air-pulse generator system
$176.8M
225K claims · 86.5%
$13.8M
35K claims · 6.7%
$8.4M
6K claims
$1,349.20
$104.06
Durable medical equipment, miscellaneous
$8.4M
6K claims · 4.1%
$5.1M
20K claims
$256.99
$317.50
Home ventilator, any type, used with non-invasive interface
$5.1M
20K claims · 2.5%
$139K
1K claims · 0.1%
$92K
1K claims · 0.0%
$88K
7K claims · 0.0%
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