1184624462

1184624462 was paid $548K by Medicaid between Jan 2018 and Aug 2021, across 17 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 — 69% of everything it billed.

33Billing provider info1184624462

33aNPI1184624462

33bProvider type—

28Total paid$548K

24GClaims22,527

24DCodes billed17

24AFirst – last monthJan 2018 – Aug 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	6,959	$187K
2019	7,496	$190K
2020	5,487	$119K
2021	2,585	$52K

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	69%	8,416	5,496	$377K
E0601	Continuous positive airway pressure (cpap) device	22%	4,811	2,660	$121K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	3.3%	2,244	1,569	$18K
A7030	Full face mask used with positive airway pressure device, each	2.6%	593	473	$14K
E0570	Nebulizer, with compressor	<1%	1,519	1,068	$4K
E0430	Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing	<1%	161	130	$4K
E0470	Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)	<1%	78	40	$3K
A7031	Face mask interface, replacement for full face mask, each	<1%	739	545	$3K
A7037	Tubing used with positive airway pressure device	<1%	1,238	906	$1K
A7032	Cushion for use on nasal mask interface, replacement only, each	<1%	58	38	$1K
A7035	Headgear used with positive airway pressure device	<1%	535	392	$1K
A7046	Water chamber for humidifier, used with positive airway pressure device, replacement, each	<1%	286	217	$405.51

5 more codes

A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	<1%	183	$304.44
A7038	Filter, disposable, used with positive airway pressure device	<1%	1,545	$254.36
E1392	Portable oxygen concentrator, rental	<1%	17	$66.41
A7003	Administration set, with small volume nonfiltered pneumatic nebulizer, disposable	<1%	29	$21.51
A7039	Filter, non disposable, used with positive airway pressure device	<1%	75	$20.18

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.