Medicaid Provider Spending

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

DIABETES STORE, INCORPORATED

NPI: 1235394206 · SOUTHAVEN, MS 38671 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/18/2008

$17K
Total Medicaid Paid
568
Total Claims
488
Beneficiaries
3
Codes Billed
2021-01
First Month
2022-10
Last Month

Provider Details

Authorized OfficialBROSSEAU, CRAIG (SECRETARY)
NPI Enumeration Date07/18/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 320 $7K
2022 248 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
K0553 Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 435 382 $16K
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 119 94 $302.89
A4259 Lancets, per box of 100 14 12 $0.00