Medicaid Provider Spending

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

LAKE COUNTRY MEDICAL SUPPLIES, LLC

NPI: 1114920816 · ATOKA, OK 74525 · 332B00000X

$33K
Total Medicaid Paid
1,108
Total Claims
1,107
Beneficiaries
11
Codes Billed
2018-01
First Month
2019-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 559 $16K
2019 549 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E1390 Oxygen concentrator 300 300 $15K
E0570 Nebulizer with compression 398 397 $9K
T4535 Disposable liner/shield/pad 63 63 $4K
T4541 Large disposable underpad 48 48 $2K
T4527 Adult size pull-on lg 12 12 $1K
E0143 Walker folding wheeled w/o s 129 129 $377.01
A7003 Nebulizer administration set 66 66 $213.28
E0431 Portable gaseous 02 24 24 $174.42
A7014 Compressor nondispos filter 19 19 $54.13
A7015 Aerosol mask used w nebulize 32 32 $44.45
A7013 Disposable compressor filter 17 17 $21.04