Lake Country Medical Supplies, LLC

Lake Country Medical Supplies, LLC was paid $33K by Medicaid between Jan 2018 and Dec 2019, across 11 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 46% of everything it billed.

33Billing provider infoLAKE COUNTRY MEDICAL SUPPLIES, LLC
ATOKA, OK 74525

33aNPI1114920816assigned 05/27/2005

33bProvider typeDurable Medical Equipment & Medical Supplies

28Total paid$33K

24GClaims1,108

24DCodes billed11

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Oklahoma

Rank by total paid#109 of 166

Median peer was paid$146K

This provider vs. median0.2×

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
2018	559	$16K
2019	549	$17K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	46%	300	300	$15K
E0570	Nebulizer, with compressor	27%	398	397	$9K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	13%	63	63	$4K
T4541	Incontinence product, disposable underpad, large, each	7.1%	48	48	$2K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	3.9%	12	12	$1K
E0143	Walker, folding, wheeled, adjustable or fixed height	1.1%	129	129	$377.01
A7003	Administration set, with small volume nonfiltered pneumatic nebulizer, disposable	<1%	66	66	$213.28
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	<1%	24	24	$174.42
A7014	Filter, nondisposable, used with aerosol compressor or ultrasonic generator	<1%	19	19	$54.13
A7015	Aerosol mask, used with dme nebulizer	<1%	32	32	$44.45
A7013	Filter, disposable, used with aerosol compressor or ultrasonic generator	<1%	17	17	$21.04

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 officialCLAY, VICTOR (OWNER)

Same official

Other billing entities under CLAY, VICTOR

Full network →

Provider	Location	Paid
Complete Care Medical, INC.	Hugo, OK	$736K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.