Medicaid Provider Spending

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

SHERMAN OAKS MEDICAL SUPPLIES, INC.

NPI: 1215377783 · PACOIMA, CA 91331 · Durable Medical Equipment & Medical Supplies · NPI assigned 06/28/2013

$10K
Total Medicaid Paid
264
Total Claims
212
Beneficiaries
4
Codes Billed
2019-06
First Month
2024-09
Last Month

Provider Details

Authorized OfficialKELL, JACK (PRESIDENT/CEO)
NPI Enumeration Date06/28/2013

Related Entities

Other providers sharing the same authorized official: KELL, JACK

ProviderCityStateTotal Paid
SHERMAN OAKS MEDICAL SUPPLIES, INC SHERMAN OAKS CA $97K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12 $11.00
2023 93 $2K
2024 159 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E1028 Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other 124 84 $8K
K0739 Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes 107 104 $2K
K0108 Wheelchair component or accessory, not otherwise specified 18 12 $297.96
E2396 Power wheelchair accessory, caster fork, any size, replacement only, each 15 12 $172.67