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

Degc Enterprises (u.s.), Inc.

Durable Medical Equipment & Medical Supplies·Clearwater, FL·NPI: 1295827780SharePrint Report
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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:

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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

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Bills $590.24 per claim for E1399 (Durable medical equipment, miscellaneous) — 5.7× the national median of $104.06.

•

Bills $30.79 per claim for A4253 (Blood glucose test strips) — 4.5× the national median of $6.92.

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Bills $156.73 per claim for A6266 — 3.3× the national median of $47.46.

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Billing above the 90th percentile for 5 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

P25MedianP75P90

This provider's total spending of $262.6M is at the 75th percentile among 35 Durable Medical Equipment & Medical Supplies providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$262.6M

$262,561,068

Total Claims

1.7M

Beneficiaries

1.5M

1.1 claims/patient

Avg Cost/Claim

$155

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

🔍 Analysis

Provider Overview

Degc Enterprises (u.s.), Inc. is a Durable Medical Equipment & Medical Supplies provider based in Clearwater, FL. From the 2018–2024 period, this provider received $262.6M in Medicaid payments across 1.7M claims.

Why This Matters

This provider received $262.6M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 32,820 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 141% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$17.2M
+29%
2019
$22.2M
+22%
2020
$27.1M
+78%
2021
$48.2M
+17%
2022
$56.6M
-12%
2023
$49.9M
-17%
2024
$41.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (A9276 (Breath test analyzer, FDA approved, disposable)) accounts for 42% of total spending.

A9276Normal range

Breath test analyzer, FDA approved, disposable

$110.8M

296K claims · 42.2%

Your Cost: $374.27/claim|Median: $294.58
1.3× median
E0784Normal range

External ambulatory infusion pump, insulin

$39.6M

98K claims · 15.1%

Your Cost: $404.22/claim|Median: $1,188.30
0.3× median
A4230Normal range

Infusion supplies, non-chemotherapy, per visit

$23.3M

187K claims · 8.9%

Your Cost: $124.45/claim|Median: $136.09
0.9× median
A9277Top 5%

Breath alcohol test, per administration

$22.7M

36K claims · 8.6%

Your Cost: $628.73/claim|Median: $407.76
1.5× median
A4239Normal range

Supply allowance for non-insulin pump CGM, per month

$17.4M

221K claims · 6.6%

Your Cost: $78.56/claim|Median: $73.75
1.1× median
K0553Normal range

Supply allowance for therapeutic CGM, per month

$10.3M

189K claims · 3.9%

Your Cost: $54.32/claim|Median: $53.20
1.0× median
A4232Normal range

$6.8M

208K claims · 2.6%

Your Cost: $32.87/claim|Median: $34.49
0.9× median
A9274Normal range

External ambulatory insulin delivery system, disposable

$6.2M

17K claims · 2.4%

Your Cost: $369.61/claim|Median: $466.16
0.8× median
A9278Top 25%

$5.1M

10K claims · 1.9%

Your Cost: $500.94/claim|Median: $366.50
1.4× median
A4353Normal range

Intermittent urinary catheter, with insertion supplies

$3.6M

7K claims · 1.4%

Your Cost: $503.52/claim|Median: $508.29
1.0× median
A4224Normal range

$2.3M

78K claims · 0.9%

Your Cost: $29.42/claim|Median: $33.51
0.9× median
A4231Normal range

$2.1M

23K claims · 0.8%

Your Cost: $94.09/claim|Median: $93.81
1.0× median
A4238Normal range

$1.3M

14K claims · 0.5%

Your Cost: $95.41/claim|Median: $143.28
0.7× median
E1399Top 25%

Durable medical equipment, miscellaneous

$1.3M

2K claims · 0.5%

Your Cost: $590.24/claim|Median: $104.06
5.7× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$1.2M

11K claims · 0.4%

Your Cost: $111.47/claim|Median: $116.15
1.0× median
A4225Normal range

$950K

77K claims · 0.4%

Your Cost: $12.27/claim|Median: $22.71
0.5× median
E2103Normal range

$640K

12K claims · 0.2%

Your Cost: $53.60/claim|Median: $85.49
0.6× median
K0554Normal range

$576K

12K claims · 0.2%

Your Cost: $46.93/claim|Median: $77.38
0.6× median
A6021Top 10%

$530K

2K claims · 0.2%

Your Cost: $303.95/claim|Median: $111.06
2.7× median
A4253Top 25%

Blood glucose test strips

$415K

13K claims · 0.2%

Your Cost: $30.79/claim|Median: $6.92
4.5× median
E0603Normal range

Breast pump, electric, any type

$408K

4K claims · 0.2%

Your Cost: $95.45/claim|Median: $131.70
0.7× median
A4409Normal range

$406K

7K claims · 0.2%

Your Cost: $61.37/claim|Median: $61.38
1.0× median
A4385Normal range

$405K

8K claims · 0.2%

Your Cost: $49.09/claim|Median: $49.51
1.0× median
A4352Normal range

Intermittent urinary catheter, Coude tip, each

$375K

1K claims · 0.1%

Your Cost: $286.06/claim|Median: $280.71
1.0× median
A4407Normal range

$318K

4K claims · 0.1%

Your Cost: $74.17/claim|Median: $73.73
1.0× median
A4414Normal range

$241K

4K claims · 0.1%

Your Cost: $61.01/claim|Median: $48.85
1.3× median
A6266Top 10%

$214K

1K claims · 0.1%

Your Cost: $156.73/claim|Median: $47.46
3.3× median
A6196Top 10%

$204K

1K claims · 0.1%

Your Cost: $161.14/claim|Median: $71.68
2.3× median
A4362Normal range

$196K

5K claims · 0.1%

Your Cost: $38.50/claim|Median: $36.03
1.1× median
A6257Top 5%

$190K

3K claims · 0.1%

Your Cost: $71.99/claim|Median: $10.48
6.9× median

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