Aeroflow INC
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 4 procedure codes: A4467 at 2.8× median, A4930 at 28.6× 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.
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 $103.36 per claim for A4930 — 28.6× the national median of $3.61.
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 $571.7M is at the 99th percentile among 35 Durable Medical Equipment & Medical Supplies providers.
Above 99th percentile for this specialty — higher spending than 34 of 35 peers
Total Paid
$571.7M
$571,724,617
Total Claims
9.6M
Beneficiaries
8.3M
1.2 claims/patient
Avg Cost/Claim
$60
#98 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Aeroflow INC is a Durable Medical Equipment & Medical Supplies provider based in Arden, NC. From the 2018–2024 period, this provider received $571.7M in Medicaid payments across 9.6M claims.
Why This Matters
This provider received $571.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 71,465 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 (E0603 (Breast pump, electric, any type)) accounts for 15% of total spending.
$84.4M
715K claims
$118.06
$131.70
Breast pump, electric, any type
$84.4M
715K claims · 14.8%
$58.3M
545K claims
$106.92
$110.54
Adult-sized disposable underpads/pads, small
$58.3M
545K claims · 10.2%
$38.5M
779K claims
$49.40
$42.03
Adult-sized disposable underpads/pads, large
$38.5M
779K claims · 6.7%
$36.9M
344K claims · 6.5%
$36.1M
935K claims
$38.62
$37.02
Disposable underpads, all sizes
$36.1M
935K claims · 6.3%
$33.3M
361K claims
$92.23
$99.53
Adult-sized disposable incontinence product, large
$33.3M
361K claims · 5.8%
$29.7M
713K claims
$41.63
$41.28
Pediatric-sized disposable incontinence product, large
$29.7M
713K claims · 5.2%
Gloves, non-sterile, per 100
$29.5M
1.4M claims · 5.2%
$27.2M
312K claims
$86.96
$88.94
Adult-sized disposable incontinence product, medium
$27.2M
312K claims · 4.8%
$25.1M
252K claims
$99.74
$105.14
Adult-sized disposable incontinence product, extra-large
$25.1M
252K claims · 4.4%
$18.4M
269K claims · 3.2%
$16.8M
117K claims
$144.30
$171.64
Pediatric-sized disposable underpads/pads, small
$16.8M
117K claims · 2.9%
$11.5M
210K claims · 2.0%
$10.4M
63K claims
$165.07
$177.75
Pediatric-sized disposable incontinence product, above XL
$10.4M
63K claims · 1.8%
$9.6M
17K claims
$561.95
$508.29
Intermittent urinary catheter, with insertion supplies
$9.6M
17K claims · 1.7%
$9.4M
103K claims
$91.52
$87.25
Adult disposable incontinence product, youth or small
$9.4M
103K claims · 1.6%
$8.4M
147K claims · 1.5%
$7.4M
91K claims · 1.3%
$6.8M
127K claims · 1.2%
$6.3M
78K claims · 1.1%
$6.2M
71K claims · 1.1%
$5.8M
120K claims · 1.0%
$4.6M
37K claims · 0.8%
$3.9M
32K claims · 0.7%
Nebulizer, with compressor
$3.6M
92K claims · 0.6%
$3.1M
36K claims
$85.32
$96.13
Adult-sized disposable incontinence product, brief/diaper, small
$3.1M
36K claims · 0.5%
$3.0M
38K claims
$79.26
$84.50
Adult-sized disposable incontinence product, brief/diaper, above XL
$3.0M
38K claims · 0.5%
$2.3M
22K claims · 0.4%
$2.3M
25K claims
$92.78
$108.31
Adult-sized disposable incontinence product, brief/diaper, medium
$2.3M
25K claims · 0.4%
$2.0M
23K claims
$84.91
$116.15
Intermittent urinary catheter, straight tip, each
$2.0M
23K claims · 0.3%
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