1013952407

1013952407 was paid $452K by Medicaid between Jan 2018 and Jan 2022, across 14 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 57% of everything it billed.

33Billing provider info1013952407

33aNPI1013952407

33bProvider type—

28Total paid$452K

24GClaims14,107

24DCodes billed14

24AFirst – last monthJan 2018 – Jan 2022

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
2018	3,232	$105K
2019	3,322	$100K
2020	3,436	$110K
2021	4,028	$131K
2022	89	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	57%	5,537	5,254	$259K
E0441	Stationary oxygen contents, gaseous, 1 month's supply = 1 unit	18%	1,773	1,670	$80K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	7.5%	2,975	2,820	$34K
E0601	Continuous positive airway pressure (cpap) device	5.1%	449	410	$23K
A7035	Headgear used with positive airway pressure device	2.4%	541	528	$11K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	2.3%	238	229	$10K
A7030	Full face mask used with positive airway pressure device, each	1.8%	107	102	$8K
E0562	Humidifier, heated, used with positive airway pressure device	1.2%	42	39	$5K
A7031	Face mask interface, replacement for full face mask, each	1.1%	152	138	$5K
A7046	Water chamber for humidifier, used with positive airway pressure device, replacement, each	<1%	380	366	$4K
A7038	Filter, disposable, used with positive airway pressure device	<1%	1,348	1,295	$4K
A4604	Tubing with integrated heating element for use with positive airway pressure device	<1%	161	150	$3K

2 more codes

E1392	Portable oxygen concentrator, rental	<1%	350	$3K
A7037	Tubing used with positive airway pressure device	<1%	54	$886.75

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.