Medicaid Provider Spending

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

NPI: 1225319510 · HOUSTON, TX 77072 · Oxygen Equipment & Supplies (DME) · NPI assigned 08/31/2011

$1K
Total Medicaid Paid
302
Total Claims
296
Beneficiaries
3
Codes Billed
2021-01
First Month
2021-10
Last Month

Provider Details

Authorized OfficialDO, MIMI (OWNER)
Parent OrganizationMISSION MEDICAL SUPPLY
NPI Enumeration Date08/31/2011

Related Entities

Other providers sharing the same authorized official: DO, MIMI

ProviderCityStateTotal Paid
MISSION MEDICAL SUPPLY SAN DIEGO CA $1.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 302 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
K0003 Lightweight wheelchair 88 85 $577.89
K0195 Elevating leg rests, pair (for use with capped rental wheelchair base) 190 187 $326.44
K0004 High strength, lightweight wheelchair 24 24 $150.05