1174510390

1174510390 was paid $3.03M by Medicaid between Jan 2018 and Jun 2023, across 3 billing codes. Its largest line is E2402, Negative pressure wound therapy electrical pump, stationary or portable — 84% of everything it billed.

33Billing provider info1174510390

33aNPI1174510390

33bProvider type—

28Total paid$3.03M

24GClaims25,664

24DCodes billed3

24AFirst – last monthJan 2018 – Jun 2023

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	2,160	$696K
2019	3,798	$643K
2020	5,501	$472K
2021	4,450	$464K
2022	6,331	$508K
2023	3,424	$248K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
E2402	Negative pressure wound therapy electrical pump, stationary or portable	84%	19,385	3,875	$2.55M
A6550	Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories	12%	3,230	2,349	$359K
A7000	Canister, disposable, used with suction pump, each	4.0%	3,049	2,245	$121K

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.