Supplier
Mantra Medical Supply INC
Mantra Medical Supply INC was paid $56K by Medicaid between Nov 2022 and Nov 2024, across 3 billing codes. Its largest line is A4239, Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service — 93% of everything it billed.
33Billing provider infoMANTRA MEDICAL SUPPLY INC
ENCINO, CA 91316
ENCINO, CA 91316
33aNPI1063037042assigned 06/15/2020
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$56K
24GClaims1,180
24DCodes billed3
24AFirst – last monthNov 2022 – Nov 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in California
Rank by total paid#387 of 946
Median peer was paid$15K
This provider vs. median3.7×
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
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 | |
|---|---|---|---|
| 2022 | 68 | $4K | |
| 2023 | 367 | $18K | |
| 2024incomplete | 745 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 93% | 1,112 | 1,101 | $52K |
| K0553 | Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 5.1% | 53 | 53 | $3K |
| K0554 | Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system | 1.9% | 15 | 15 | $1K |
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 officialDAHESH, BEHNAM (CEO)