DELTA MEDICAL GROUP INC
NPI: 1073149373
· FAYETTEVILLE, AR 72703
· 332B00000X
$387K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
1,625 |
$99K |
| 2024 |
3,054 |
$288K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4161 |
Ef ped hydrolyzed/amino acid |
238 |
194 |
$125K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
540 |
434 |
$98K |
| B4035 |
Enteral feed supp pump per d |
867 |
686 |
$77K |
| B4100 |
Food thickener oral |
201 |
163 |
$35K |
| B4152 |
Ef calorie dense>/=1.5kcal |
71 |
64 |
$21K |
| B4149 |
Ef blenderized foods |
23 |
13 |
$8K |
| E1390 |
Oxygen concentrator |
693 |
679 |
$7K |
| B9998 |
Enteral supp not otherwise c |
268 |
217 |
$6K |
| B4155 |
Ef incomplete/modular |
127 |
111 |
$4K |
| E0261 |
Hosp bed semi-electr w/o mat |
562 |
557 |
$3K |
| E0143 |
Walker folding wheeled w/o s |
19 |
19 |
$1K |
| K0001 |
Standard wheelchair |
179 |
179 |
$966.95 |
| A4322 |
Irrigation syringe |
73 |
67 |
$681.12 |
| E0431 |
Portable gaseous 02 |
448 |
436 |
$482.11 |
| K0003 |
Lightweight wheelchair |
355 |
346 |
$402.70 |
| E0184 |
Dry pressure mattress |
15 |
15 |
$0.00 |