Medicaid Provider Spending

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

HILTON MEDICAL SUPPLY, INC.

NPI: 1114015492 · LA CROSSE, WI 54601 · Durable Medical Equipment & Medical Supplies · NPI assigned 10/11/2006

$77K
Total Medicaid Paid
752
Total Claims
549
Beneficiaries
4
Codes Billed
2024-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTADTLER, KIM (OWNER/MANAGER)
NPI Enumeration Date10/11/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 752 $77K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4520 Incontinence garment, any type, (e.g., brief, diaper), each 415 305 $42K
E1399 Durable medical equipment, miscellaneous 278 186 $33K
T2028 Specialized supply, not otherwise specified, waiver 45 44 $2K
K0739 Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes 14 14 $498.52