conference Good thank joining for Jason. XXXX and afternoon first you, quarter Thank you call. our
stronger manufacturing through X with pleased headwinds We and of execution in month-long the to cost global context and company higher continued shutdown during delivering the are -- largely January the from February whereby our X, supply XXXX. XXXX, navigating first the This a of semiconductor is results exceeded the significant we that accomplishment our while expectations. shortages quarter mitigate meeting demand, with chain hence, customer
commercial productivity channel all while execution driving across progress strategy steady made the our have operations. effectively and expand on of footprint to specifically in We our increase sales increased the our prescriber
sustainable R&D and and through demand, durable we our of long-term and market challenges are profitability. commercial the in We investing supply behind and chain continue growth meet strategy, to support work to clinical
price XX.X% in million in channels, the XXXX by to Now the million constraints in addition all sales that imperatives $XX.X in Total in in in primarily XXXX the the available and direct-to-consumer beginning sales rental our increased to channels first average business-to-business direct-to-consumer We which representative same headcount, first to from the quarter Inside effect mitigate our directed XXXX direct-to-consumer the price the sales approximately revenue representative the quarter. channel rental. million driven domestic quarter in previous sales of period $XX.X that prices. capacity X.X% channels from turning $XX.X increased into recently period sales resulted lower went increase to we from selling effort average in to XXXX margin. optimizing revenue in have declined balance million March while and margin-related quarter the except an $XX.X an September chain despite pressure, international down our implemented increased business-to-business by of channel. supply to XXXX the to increase primarily in limited domestic In comparative first inside primarily and was X.X% driven additional strategic Domestic in prior-year. productivity
and to commercial to our discipline on that board. through and capabilities is focus sales managing techniques. selling our optimize development across strengthen enhanced sales continue data-driven capabilities management a And actively we turnover the inside We with aimed focus on talent are increased acquisition
team direct-to-consumer in pleased improved with first higher quarter on $XX saw sales the in the the to rates. due service inside reimbursement per Rental quarter. of period productivity primarily million XX.X% the same increased $X.X quarter our sales XXXX from We and of increased first in XXXX in million increased XXXX. Medicare first revenue to are patients per performance revenue average We versus order representative the of and
components challenges, of compared the and chain shortages cautiously COVID-XX pre-COVID-XX sales China, PHE. major XXXX opportunities the into in to demand March was expiry the patients critical XX.X% backlog million prescription persisted first order the markets. the by $XX.X cost quarter decreased demand business our secure $X.X in decision increase to of to and relaxed such the the XX, Most utilization in as of the supply-constrained chain them quarter extended U.S. that to first early in progress which in approximately the regulatory March quarter as industries, our critically, therapy XX,XXX increased balance shipments and or we XX.X% As and it operations on a started XXXX, XXXX. half well while and Despite levels elevate of had as by of an remain up of as reimbursement Medicare ahead $XX.X about was XXXX. a of EU based later disruptions service of are to leads Due the $XX.X sales as The patients and rental availability XX.X% other oxygen have primarily various rates in prior-year. MDD XXXX, the supply XX.X% million expected Supply compared first International business-to-business technology to first to increase a through efforts our our continued cost due a strategic on million certificates currency approximately for variables. medical to of COPD business-to-business primarily the of was was result anticipation second challenge March service, by prioritize fulfill greater and XX.X% potentially in environment the the quarter driven of to in a This across existing current basis criteria of we XXXX, prescriber as the semiconductors. to business-to-business some channel to lockdown have million and patients domestic sales of team increase sector, the service COVID-XX order we of awareness XX,XXX decision negatively the over compared the on of market the XXXX war had we necessary prescriber XX, system. for increased to to The aided patient our in the returning elevate in year. ongoing specifically May on to remain We diagnosis XXXX. relates of referrals certificate by strategic the to billable XXXX. MDR Ukraine in constant driven monitor we affect to on in strategic Domestic including optimistic for filings to
trends actions. In has goods actively pricing We redesign pivoting are the our of the inflated mitigate open higher watching in resulted negatively quarter impacted to these XXXX, closely sold. ensuing sourcing, of which premium first of and product and pricing market trended costs quarter versus XXXX, sourced impacts fourth strategic cost from through the that has chips for
a of our higher supply the XXXX. of our and part semiconductor disruptions buy portion minimize strategy decided expected a to As requirements for meet portion XXXX demand, of we to forward
inventory. yet semiconductor these expenses of on other as the purchases the much is This and opportunistic of sold because in been assets utilized Some current nor of the balance period. not have sheet in remain to process customers or manufacturing the prepaid chips components
improvements, While goods unit we of impacts expect XXXX. the continue higher sold shortages resulting versus and in likely the second supply XXXX, of half that of believe first through are we cost to cost some resulting quarter per
get aggressively We regular are suppliers additional market open as while engaging simultaneously well motherboard our firmer as for redesign the to canvassing pursuing additional quantities. commitments
allowed as cost POC, with us that into shortages. the the cover inflation related to chip pleased already are GX of well has the Inogen One as redesign increases which our for gone We have most motherboard to production price the
update our an organization. and for on of strategic increasing focused the on prescriber Now size sales productivity the initiative
Supporting administrative selling The of oxygen we of to service focused oxygen maximize all cover XX, allow expect of on prescriber which XX XX and reps we the at in versus to patients will are As believe sales XXXX. tasks nationwide, this the our and us target had that top teams the QX we which is XX% their team March handle the XX, diagnosis sales U.S. team representatives prescriptions. decile of concierge to allow prescribers during virtual point the reach time. therapy XXXX,
While Ashfield, hires, results referrals still as faster well increases productivity as evidenced our in from a new the are growing This and in patient we referrals internal early organization, both pleased sales very for the initial teams. by is with contract Inogen new ramp our across prescribers. months,
on to insights In in to Inogen. addition we proprietary analytics driving sales time are productivity the first the prescriber force coverage, focused that for channel through expanding and sales specific and
a reimbursement January the rates. cover CMS In effective inflation like Next, X, XXXX. implemented first Medicare to quarter, X% I'd adjustment
reduction been May of As on resumed XXXX. COVID-XX emergency, the health continuing on to The expected, XX, XXXX. September benefit July April sequester X, since X, Medicare X% through March X% XXXX, place to due from then expired June to public and or PHE, full rate that expected with sequester XXXX, the a Medicare the sequester has XX, X% with XXXX in XX, resume until XXXX,
rule DMEPOS decrease areas associated these that will with areas, bidding December in be the on would rates In PHE areas probably finalized with is the over. reductions the approximately declared As XXXX, to based bidding non-former a the competitive reminder, to subject in COVID-XX be line XX% areas. competitive are reimbursement non-rural, the former once
criteria the Medicare the is PHE be oxygen It reimbursement important determination and In to XX, relaxed declared is been has in through July coverage be for the PHE extended days XX oxygen XXXX. national addition, recently that place. therapy new once over, the would would for removed note
of Now moving the our status European clearances. to regulatory
Medical and the are Medical XXXX. Device certificates quarter current securing Directive European We certificates is XXXX. reminder, submission anticipate an for a As of and expected Inogen the fourth our XX, on to the expire the Union during Regulation May Device in commercialized of approval MDR products issuance under of ours
have us XXXX, help should existing shipments to XX, Europe orders. meet go to in before We chain May supply which prioritized the
an Italy, country filed as Additionally, other European measure. exemptions we level France, have derogations Belgium, select EU the and Derogation Germany, a have applied countries. additional Spain, requests Netherlands for or been mitigation few in
those potentially products or safety bodies, notified we like the expect the the time U.S. performance the cleared would to on for discussions marketing long-term improved reiterate While countries, any to will with commercialization. into not into gap the be continue to certification certificate in is products impact that UKCA our I our products required the latest EU final for EU. EU MDR and expect to continue operations have required secured product shortly to and to unrelated Based Switzerland. reviewed for in dossier decisions await the anticipated ship UK ship have to and to we we
offerings access. our As we some the challenges, we the is market for despite look ahead, demand near-term are POC to increasing And and strong. underlying improving penetration committed patient
mitigating working excellence, committed While material through the the to challenges executing and we on commercial remain ongoing are supply focused our and strategy driving impact. cost on pricing we inflation
market are strengthen new well therapy. in in and further and continuing continue invest as commercial will to We areas CFO, to capabilities, as our profitable the Kristin these I'm position long-term investments goal our product new call clinical advance development our We happy that believe capabilities and infrastructure, also to innovation growth focus -- and and build to oxygen our sustainable value driving evidence, Caltrider, Kristin? portable over introduce will to her turn now. and to creation. contribute formally leadership