Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Medcare Health, INC.

Medcare Health, INC. was paid $48K by Medicaid between Jan 2018 and Oct 2024, across 22 billing codes. Its largest line is L0650, Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf — 22% of everything it billed.

33Billing provider infoMEDCARE HEALTH, INC.
FRESNO, CA 93710
33aNPI1003993296assigned 11/01/2006
28Total paid$48K
24GClaims13,606
24DCodes billed22
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in California

Rank by total paid#400 of 946
Median peer was paid$15K
This provider vs. median3.1×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
20181,842$9K
20192,041$6K
20201,696$252.34
20212,124$2K
20222,619$13K
20231,697$8K
2024incomplete1,587$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
L0650 Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf 22% 550 545 $11K
L1832 Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 17% 690 563 $8K
A4595 Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) 14% 7,709 7,477 $6K
A4239 Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 13% 667 658 $6K
K0004 High strength, lightweight wheelchair 8.6% 67 65 $4K
L3915 Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 7.9% 225 153 $4K
L2810 Addition to lower extremity orthosis, knee control, condylar pad 4.2% 707 584 $2K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 2.6% 327 235 $1K
L2795 Addition to lower extremity orthosis, knee control, full kneecap 2.3% 676 553 $1K
L2397 Addition to lower extremity orthosis, suspension sleeve 2.1% 729 598 $996.92
E0730 Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation 1.4% 653 604 $684.44
E2611 General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware 1.4% 51 51 $669.96
10 more codes
E0990 Wheelchair accessory, elevating leg rest, complete assembly, each 1.1% 52 $542.10
E0973 Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each <1% 52 $462.60
K0001 Standard wheelchair <1% 78 $190.66
E0971 Manual wheelchair accessory, anti-tipping device, each <1% 40 $163.88
E2601 General use wheelchair seat cushion, width less than 22 inches, any depth <1% 51 $152.38
E0961 Manual wheelchair accessory, wheel lock brake extension (handle), each <1% 52 $144.66
E0951 Heel loop/holder, any type, with or without ankle strap, each <1% 53 $101.48
E0978 Wheelchair accessory, positioning belt/safety belt/pelvic strap, each <1% 53 $92.56
E0143 Walker, folding, wheeled, adjustable or fixed height 0% 12 $0.00
K0553 Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 0% 112 $0.00

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 officialSHIGLIK, ANDRE (GM)