Medicaid Provider Spending

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

CLAYTON MEDICAL SUPPLY INC

NPI: 1134722390 · RIVERDALE, GA 30274 · Durable Medical Equipment & Medical Supplies · NPI assigned 11/19/2020

$12K
Total Medicaid Paid
300
Total Claims
288
Beneficiaries
2
Codes Billed
2022-12
First Month
2024-05
Last Month

Provider Details

Authorized OfficialFAIRCLOUGH, JUDITH (CEO)
NPI Enumeration Date11/19/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 12 $364.39
2023 240 $8K
2024 48 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4239 Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 288 276 $12K
K0553 Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 12 12 $364.39