1184658429

1184658429 was paid $418K by Medicaid between Jan 2018 and Aug 2021, across 9 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 — 80% of everything it billed.

33Billing provider info1184658429

33aNPI1184658429

33bProvider type—

28Total paid$418K

24GClaims9,587

24DCodes billed9

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	3,401	$145K
2019	2,526	$126K
2020	2,649	$107K
2021	1,011	$40K

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	80%	5,099	4,240	$335K
E0441	Stationary oxygen contents, gaseous, 1 month's supply = 1 unit	10%	960	837	$43K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	8.6%	2,898	2,472	$36K
A7038	Filter, disposable, used with positive airway pressure device	<1%	427	368	$1K
E0601	Continuous positive airway pressure (cpap) device	<1%	28	24	$881.10
A7037	Tubing used with positive airway pressure device	<1%	40	37	$759.21
E1392	Portable oxygen concentrator, rental	<1%	80	74	$698.95
E0443	Portable oxygen contents, gaseous, 1 month's supply = 1 unit	<1%	42	26	$302.50
A7035	Headgear used with positive airway pressure device	<1%	13	12	$300.27

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.