Medicaid Provider Spending

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

PR MEDICAL SUPPLIES LLC

NPI: 1245758010 · MIAMI, FL 33186 · Durable Medical Equipment & Medical Supplies · NPI assigned 08/31/2017

$6K
Total Medicaid Paid
42
Total Claims
42
Beneficiaries
2
Codes Billed
2020-07
First Month
2020-07
Last Month

Provider Details

Authorized OfficialACOSTA, ANDRES (PRESIDENT)
NPI Enumeration Date08/31/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 42 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
L0830 Halo procedure, cervical halo incorporated into milwaukee type orthosis 22 22 $6K
L1005 Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment 20 20 $0.00