AVERA HOME MEDICAL EQUIPMENT, LLC
NPI: 1144396102
· WATERTOWN, SD 57201
· 332B00000X
$432K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
469 |
$40K |
| 2019 |
585 |
$40K |
| 2020 |
550 |
$32K |
| 2021 |
964 |
$62K |
| 2022 |
1,161 |
$112K |
| 2023 |
1,078 |
$82K |
| 2024 |
857 |
$63K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,086 |
1,941 |
$139K |
| B4035 |
Enteral feed supp pump per d |
563 |
470 |
$132K |
| A4335 |
Incontinence supply |
994 |
907 |
$52K |
| T2028 |
Special supply, nos waiver |
429 |
400 |
$43K |
| T4535 |
Disposable liner/shield/pad |
493 |
452 |
$21K |
| E1392 |
Portable oxygen concentrator |
740 |
675 |
$15K |
| T4528 |
Adult size pull-on xl |
99 |
94 |
$11K |
| T4526 |
Adult size pull-on med |
159 |
137 |
$10K |
| T4527 |
Adult size pull-on lg |
70 |
66 |
$5K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
19 |
12 |
$3K |
| A7038 |
Pos airway pressure filter |
12 |
12 |
$54.52 |