Medicaid Provider Spending

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

M.D.S. INTERESTS, LLC.

NPI: 1174047922 · CRYSTAL CITY, TX 78839 · Durable Medical Equipment & Medical Supplies · NPI assigned 08/02/2017

$51.43
Total Medicaid Paid
22
Total Claims
12
Beneficiaries
1
Codes Billed
2019-07
First Month
2019-07
Last Month

Provider Details

Authorized OfficialHERRERA, FERNANDO (MANAGER)
NPI Enumeration Date08/02/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 22 $51.43

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A5500 For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe 22 12 $51.43