Medicaid Provider Spending

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

GREEN RAVEN INC

NPI: 1134222482 · RIO GRANDE CITY, TX 78582 · Durable Medical Equipment & Medical Supplies · NPI assigned 09/05/2006

$1K
Total Medicaid Paid
31
Total Claims
25
Beneficiaries
2
Codes Billed
2021-11
First Month
2021-11
Last Month

Provider Details

Authorized OfficialGARCIA, JUAN (OWNER)
NPI Enumeration Date09/05/2006

Related Entities

Other providers sharing the same authorized official: GARCIA, JUAN

ProviderCityStateTotal Paid
ST LUKE HOME HEALTH LLC EL PASO TX $11.43M
ORLANDO FAMILY MEDICAL INC KISSIMMEE FL $4.86M
VIDA MEDICAL SUPPLIES LLC RIO GRANDE CITY TX $2.80M
VICTORY AMBULANCE SERVICES LLC BENAVIDES TX $23K
LABS-ALL, INC LOS ANGELES CA $5K
JUAN A GARCIA MDPA LIVE OAK TX $419.65

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 31 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E0570 Nebulizer, with compressor 19 13 $1K
A7015 Aerosol mask, used with dme nebulizer 12 12 $15.12