Medicaid Provider Spending

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

WHBOUTIQUE INC.

NPI: 1033284435 · LONGVIEW, TX 75601 · Durable Medical Equipment & Medical Supplies · NPI assigned 11/21/2006

$252K
Total Medicaid Paid
3,471
Total Claims
3,307
Beneficiaries
3
Codes Billed
2020-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJONES, VICKI (OWNER)
NPI Enumeration Date11/21/2006

Related Entities

Other providers sharing the same authorized official: JONES, VICKI

ProviderCityStateTotal Paid
WHBOUTIQUE INC. DALLAS TX $4K
WHBOUTIQUE INC. DALLAS TX $1K
WHBOUTIQUE INC. TYLER TX $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 569 $26K
2021 1,126 $88K
2022 785 $61K
2023 644 $49K
2024 347 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E0603 Breast pump, electric (ac and/or dc), any type 1,553 1,491 $168K
A4467 Belt, strap, sleeve, garment, or covering, any type 1,864 1,769 $83K
L8000 Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type 54 47 $1K