Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MANOR MEDICAL SUPPLY INC.

NPI: 1023178555 · PARK FALLS, WI 54552 · Durable Medical Equipment & Medical Supplies · NPI assigned 12/12/2006

$4K
Total Medicaid Paid
27
Total Claims
24
Beneficiaries
1
Codes Billed
2018-06
First Month
2018-08
Last Month

Provider Details

Authorized OfficialSCHULTZ, SHARON (SECRETARY TREASURER)
NPI Enumeration Date12/12/2006

Related Entities

Other providers sharing the same authorized official: SCHULTZ, SHARON

ProviderCityStateTotal Paid
PARK MANOR, LTD. PARK FALLS WI $24K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 27 24 $4K