Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › WESLACO › SAN JOSE DME LLC

SAN JOSE DME LLC

NPI: 1003383019 · WESLACO, TX 78596 · 332B00000X

$253K
Total Medicaid Paid
7,905
Total Claims
7,898
Beneficiaries
5
Codes Billed
2019-06
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 762 $26K
2020 1,086 $28K
2021 1,106 $32K
2022 978 $24K
2023 1,576 $55K
2024 2,397 $89K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4554 Disposable underpads 2,484 2,480 $90K
T4526 Adult size pull-on med 546 546 $56K
T4535 Disposable liner/shield/pad 1,904 1,903 $54K
T4527 Adult size pull-on lg 302 302 $39K
A4335 Incontinence supply 2,669 2,667 $14K