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NPI 1164486445
NPI deactivated
1164486445
1164486445 was paid $5.55M by Medicaid between Jan 2018 and Mar 2021, across 74 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 — 23% of everything it billed.
33Billing provider info1164486445
33aNPI1164486445
33bProvider type—
28Total paid$5.55M
24GClaims144,281
24DCodes billed74
24AFirst – last monthJan 2018 – Mar 2021
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 | 41,938 | $836K | |
| 2019 | 45,038 | $2.38M | |
| 2020 | 51,431 | $2.08M | |
| 2021 | 5,874 | $260K |
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 | 23% | 18,438 | 17,522 | $1.25M |
| E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | 11% | 833 | 641 | $637K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | 6.1% | 8,246 | 7,769 | $340K |
| A7030 | Full face mask used with positive airway pressure device, each | 5.1% | 3,376 | 3,283 | $281K |
| K0001 | Standard wheelchair | 4.7% | 10,819 | 10,206 | $259K |
| A4217 | Sterile water/saline, 500 ml | 4.2% | 3,390 | 2,135 | $234K |
| E0570 | Nebulizer, with compressor | 4.1% | 5,881 | 5,735 | $225K |
| K0738 | Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing | 3.9% | 10,186 | 9,699 | $217K |
| K0108 | Wheelchair component or accessory, not otherwise specified | 3.3% | 2,907 | 1,174 | $182K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 3.0% | 4,744 | 4,576 | $164K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | 2.7% | 2,774 | 2,674 | $152K |
| E0202 | Phototherapy (bilirubin) light with photometer | 2.4% | 933 | 825 | $134K |
62 more codes
| E1392 | Portable oxygen concentrator, rental | 2.4% | 4,622 | $133K |
| E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | 1.9% | 211 | $108K |
| E0973 | Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each | 1.7% | 11,974 | $95K |
| E0601 | Continuous positive airway pressure (cpap) device | 1.7% | 1,962 | $93K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 1.6% | 1,063 | $88K |
| A7031 | Face mask interface, replacement for full face mask, each | 1.5% | 1,733 | $84K |
| K0739 | Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes | 1.5% | 3,974 | $82K |
| A7035 | Headgear used with positive airway pressure device | 1.4% | 4,056 | $75K |
| A4605 | Tracheal suction catheter, closed system, each | 1.3% | 303 | $73K |
| E0603 | Breast pump, electric (ac and/or dc), any type | <1% | 364 | $54K |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | <1% | 3,975 | $49K |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | <1% | 2,038 | $43K |
| E1226 | Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each | <1% | 1,235 | $43K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 6,880 | $41K |
| A7526 | Tracheostomy tube collar/holder, each | <1% | 622 | $38K |
| E1028 | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other | <1% | 1,655 | $34K |
| K0823 | Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds | <1% | 158 | $31K |
| E0118 | Crutch substitute, lower leg platform, with or without wheels, each | <1% | 707 | $31K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 2,139 | $28K |
| E0971 | Manual wheelchair accessory, anti-tipping device, each | <1% | 4,848 | $25K |
| A4618 | Breathing circuits | <1% | 1,201 | $24K |
| E0630 | Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) | <1% | 1,267 | $22K |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | <1% | 363 | $21K |
| E0604 | Breast pump, hospital grade, electric (ac and / or dc), any type | <1% | 745 | $20K |
| E0434 | Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing | <1% | 843 | $16K |
| A7521 | Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each | <1% | 497 | $16K |
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | <1% | 352 | $13K |
| A7039 | Filter, non disposable, used with positive airway pressure device | <1% | 1,415 | $11K |
| K0002 | Standard hemi (low seat) wheelchair | <1% | 292 | $11K |
| E0978 | Wheelchair accessory, positioning belt/safety belt/pelvic strap, each | <1% | 2,354 | $10K |
| K0003 | Lightweight wheelchair | <1% | 365 | $9K |
| A7037 | Tubing used with positive airway pressure device | <1% | 575 | $8K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 794 | $7K |
| B4152 | Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 295 | $6K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | <1% | 371 | $6K |
| A4927 | Gloves, non-sterile, per 100 | <1% | 451 | $5K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 1,392 | $4K |
| E0990 | Wheelchair accessory, elevating leg rest, complete assembly, each | <1% | 505 | $3K |
| A7033 | Pillow for use on nasal cannula type interface, replacement only, pair | <1% | 26 | $2K |
| K0004 | High strength, lightweight wheelchair | <1% | 116 | $2K |
| E0277 | Powered pressure-reducing air mattress | <1% | 52 | $1K |
| B9002 | Enteral nutrition infusion pump, any type | <1% | 141 | $1K |
| A7006 | Administration set, with small volume filtered pneumatic nebulizer | <1% | 118 | $1K |
| E1161 | Manual adult size wheelchair, includes tilt in space | <1% | 24 | $959.72 |
| E0439 | Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing | <1% | 145 | $816.21 |
| A7013 | Filter, disposable, used with aerosol compressor or ultrasonic generator | <1% | 660 | $755.99 |
| E1399 | Durable medical equipment, miscellaneous | <1% | 70 | $638.51 |
| E0245 | Tub stool or bench | <1% | 13 | $512.08 |
| E0961 | Manual wheelchair accessory, wheel lock brake extension (handle), each | <1% | 66 | $508.31 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 307 | $467.85 |
| E0776 | Iv pole | <1% | 250 | $444.37 |
| E2361 | Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) | <1% | 43 | $371.12 |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 13 | $358.65 |
| A7004 | Small volume nonfiltered pneumatic nebulizer, disposable | <1% | 584 | $343.29 |
| A4213 | Syringe, sterile, 20 cc or greater, each | <1% | 137 | $236.61 |
| B4150 | Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 14 | $232.55 |
| E0550 | Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery | <1% | 13 | $143.03 |
| E0181 | Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty | <1% | 12 | $141.67 |
| A7000 | Canister, disposable, used with suction pump, each | <1% | 13 | $105.46 |
| E2365 | Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) | 0% | 201 | $0.00 |
| A4627 | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler | 0% | 14 | $0.00 |
| E0203 | Therapeutic lightbox, minimum 10,000 lux, table top model | 0% | 126 | $0.00 |
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.