1225067903

1225067903 was paid $112K by Medicaid between Jan 2018 and Mar 2018, 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 — 29% of everything it billed.

33Billing provider info1225067903

33aNPI1225067903

33bProvider type—

28Total paid$112K

24GClaims2,025

24DCodes billed17

24AFirst – last monthJan 2018 – Mar 2018

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	2,025	$112K

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	29%	256	208	$32K
E0601	Continuous positive airway pressure (cpap) device	16%	264	233	$18K
E0570	Nebulizer, with compressor	10%	200	198	$11K
E0424	Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing	7.6%	50	49	$9K
E0562	Humidifier, heated, used with positive airway pressure device	7.2%	295	251	$8K
A7030	Full face mask used with positive airway pressure device, each	6.5%	68	65	$7K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	4.3%	142	106	$5K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	3.4%	60	57	$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)	2.8%	18	16	$3K
K0738	Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing	2.7%	76	66	$3K
A7005	Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable	2.3%	115	111	$3K
A7035	Headgear used with positive airway pressure device	2.3%	94	92	$3K

5 more codes

K0001	Standard wheelchair	1.7%	71	$2K
A7037	Tubing used with positive airway pressure device	1.6%	99	$2K
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	1.3%	40	$1K
A7038	Filter, disposable, used with positive airway pressure device	<1%	106	$935.13
A7015	Aerosol mask, used with dme nebulizer	<1%	71	$154.08

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.