Medicaid Provider Spending

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

POWER WHEELS MEDICAL SUPPLY LLC

NPI: 1083304604 · LANCASTER, CA 93534 · Vehicle Modifications Contractor · NPI assigned 05/08/2023

$13K
Total Medicaid Paid
128
Total Claims
106
Beneficiaries
3
Codes Billed
2024-04
First Month
2024-08
Last Month

Provider Details

Authorized OfficialDEVINE, RANDY (MANAGER)
NPI Enumeration Date05/08/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 128 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E2370 Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only 48 26 $7K
E2359 Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) 28 28 $5K
K0739 Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes 52 52 $2K