Medicaid Provider Spending

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

SUPERIOR RESPIRATORY AND MEDICAL SUPPLY, LLC

NPI: 1205507324 · WEST HELENA, AR 72390 · Durable Medical Equipment & Medical Supplies · NPI assigned 09/28/2021

$1K
Total Medicaid Paid
229
Total Claims
169
Beneficiaries
5
Codes Billed
2024-03
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMITCHELL, TASHA (OWNER)
NPI Enumeration Date09/28/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 229 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4554 Disposable underpads, all sizes 59 38 $600.91
E0143 Walker, folding, wheeled, adjustable or fixed height 36 24 $493.87
A4239 Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 14 13 $164.30
E0570 Nebulizer, with compressor 24 14 $113.04
E0601 Continuous positive airway pressure (cpap) device 96 80 $87.66