Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Edwards Health Care Services, Inc.

Durable Medical Equipment & Medical Supplies·Hudson, OH·NPI: 1255330825Share

Compared to Durable Medical Equipment & Medical Supplies Peers

Total spending distribution among 35 providers in this specialty

P25MedianP75P90

This provider's total spending of $149.7M is at the 50th percentile among 35 Durable Medical Equipment & Medical Supplies providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$149.7M

$149,693,513

Total Claims

1.0M

Beneficiaries

836K

1.2 claims/patient

Avg Cost/Claim

$148

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

🔍 Analysis

Provider Overview

Edwards Health Care Services, Inc. is a Durable Medical Equipment & Medical Supplies provider based in Hudson, OH. From the 2018–2024 period, this provider received $149.7M in Medicaid payments across 1.0M claims.

Why This Matters

This provider received $149.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 18,711 Medicaid beneficiaries for a full year at average per-enrollee costs.

118% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$8.4M
+83%
2019
$15.3M
+35%
2020
$20.7M
+43%
2021
$29.7M
+2%
2022
$30.3M
-10%
2023
$27.2M
-33%
2024
$18.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (A9276 (Breath test analyzer, FDA approved, disposable)) accounts for 31% of total spending.

A9276Normal range

Breath test analyzer, FDA approved, disposable

$47.1M

204K claims · 31.4%

Your Cost: $231.01/claim|Median: $294.58
0.8× median
E0784Normal range

External ambulatory infusion pump, insulin

$31.0M

57K claims · 20.7%

Your Cost: $542.77/claim|Median: $1,188.30
0.5× median
A4230Normal range

Infusion supplies, non-chemotherapy, per visit

$27.8M

198K claims · 18.6%

Your Cost: $140.67/claim|Median: $136.09
1.0× median
A9277Top 25%

Breath alcohol test, per administration

$12.2M

21K claims · 8.1%

Your Cost: $572.85/claim|Median: $407.76
1.4× median
A4232Normal range

$8.1M

216K claims · 5.4%

Your Cost: $37.58/claim|Median: $34.49
1.1× median
A4239Normal range

Supply allowance for non-insulin pump CGM, per month

$7.6M

51K claims · 5.1%

Your Cost: $148.38/claim|Median: $73.75
2.0× median
K0553Normal range

Supply allowance for therapeutic CGM, per month

$5.3M

47K claims · 3.5%

Your Cost: $112.40/claim|Median: $53.20
2.1× median
A9274Normal range

External ambulatory insulin delivery system, disposable

$3.2M

8K claims · 2.1%

Your Cost: $381.89/claim|Median: $466.16
0.8× median
A9278Top 25%

$2.1M

4K claims · 1.4%

Your Cost: $497.48/claim|Median: $366.50
1.4× median
A4231Normal range

$2.0M

17K claims · 1.3%

Your Cost: $114.34/claim|Median: $93.81
1.2× median
A4238Normal range

$663K

5K claims · 0.4%

Your Cost: $147.02/claim|Median: $143.28
1.0× median
A4224Normal range

$471K

16K claims · 0.3%

Your Cost: $29.05/claim|Median: $33.51
0.9× median
E0603Normal range

Breast pump, electric, any type

$440K

3K claims · 0.3%

Your Cost: $139.68/claim|Median: $131.70
1.1× median
A6257Normal range

$409K

34K claims · 0.3%

Your Cost: $11.90/claim|Median: $10.48
1.1× median
A4253Top 10%

Blood glucose test strips

$335K

6K claims · 0.2%

Your Cost: $53.10/claim|Median: $6.92
7.7× median
K0554Normal range

$252K

3K claims · 0.2%

Your Cost: $77.33/claim|Median: $77.38
1.0× median
A5120Normal range

$211K

83K claims · 0.1%

Your Cost: $2.53/claim|Median: $6.35
0.4× median
A4225Normal range

$184K

16K claims · 0.1%

Your Cost: $11.55/claim|Median: $22.71
0.5× median
E2103Normal range

$164K

2K claims · 0.1%

Your Cost: $66.42/claim|Median: $85.49
0.8× median
A4221Top 25%

Supplies for maintenance of drug infusion catheter

$72K

3K claims · 0.0%

Your Cost: $24.02/claim|Median: $16.19
1.5× median
E0607Top 5%

$57K

735 claims · 0.0%

Your Cost: $77.70/claim|Median: $23.10
3.4× median
A4259Top 25%

Lancets for blood glucose testing

$46K

5K claims · 0.0%

Your Cost: $9.39/claim|Median: $2.27
4.1× median
E2102Normal range

$32K

1K claims · 0.0%

Your Cost: $29.69/claim|Median: $34.23
0.9× median
K0552Normal range

$25K

3K claims · 0.0%

Your Cost: $9.11/claim|Median: $19.78
0.5× median
E1399Normal range

Durable medical equipment, miscellaneous

$5K

43 claims · 0.0%

Your Cost: $113.98/claim|Median: $104.06
1.1× median
A4456Normal range

$5K

2K claims · 0.0%

Your Cost: $3.08/claim|Median: $6.74
0.5× median
A4256Normal range

$4K

918 claims · 0.0%

Your Cost: $4.44/claim|Median: $2.85
1.6× median
A4258Top 25%

$715

113 claims · 0.0%

Your Cost: $6.33/claim|Median: $1.39
4.5× median