Supplier
San Jose DME LLC
San Jose DME LLC was paid $253K by Medicaid between Jun 2019 and Dec 2024, across 5 billing codes. Its largest line is A4554, Disposable underpads, all sizes — 36% of everything it billed.
33Billing provider infoSAN JOSE DME LLC
WESLACO, TX 78596
WESLACO, TX 78596
33aNPI1003383019assigned 10/28/2018
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$253K
24GClaims7,905
24DCodes billed5
24AFirst – last monthJun 2019 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Texas
Rank by total paid#247 of 566
Median peer was paid$142K
This provider vs. median1.8×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 762 | $26K | |
| 2020 | 1,086 | $28K | |
| 2021 | 1,106 | $32K | |
| 2022 | 978 | $24K | |
| 2023 | 1,576 | $55K | |
| 2024incomplete | 2,397 | $89K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A4554 | Disposable underpads, all sizes | 36% | 2,484 | 2,480 | $90K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 22% | 546 | 546 | $56K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 21% | 1,904 | 1,903 | $54K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 15% | 302 | 302 | $39K |
| A4335 | Incontinence supply; miscellaneous | 5.7% | 2,669 | 2,667 | $14K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSALINAS, JACQUELINE (OWNER)