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NPI 1255387056
NPI deactivated
1255387056
1255387056 was paid $251K by Medicaid between Jan 2018 and Jul 2019, across 22 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 — 47% of everything it billed.
33Billing provider info1255387056
33aNPI1255387056
33bProvider type—
28Total paid$251K
24GClaims11,791
24DCodes billed22
24AFirst – last monthJan 2018 – Jul 2019
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 | 8,518 | $169K | |
| 2019 | 3,273 | $82K |
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 | 47% | 3,186 | 2,484 | $119K |
| E0601 | Continuous positive airway pressure (cpap) device | 8.3% | 558 | 415 | $21K |
| A7030 | Full face mask used with positive airway pressure device, each | 6.2% | 241 | 191 | $16K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 5.5% | 1,673 | 1,357 | $14K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 5.4% | 499 | 337 | $14K |
| E0471 | Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | 3.9% | 28 | 26 | $10K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | 3.8% | 326 | 240 | $9K |
| A7035 | Headgear used with positive airway pressure device | 2.8% | 501 | 400 | $7K |
| A7038 | Filter, disposable, used with positive airway pressure device | 2.5% | 1,367 | 1,175 | $6K |
| A7031 | Face mask interface, replacement for full face mask, each | 2.5% | 258 | 209 | $6K |
| E0570 | Nebulizer, with compressor | 2.4% | 861 | 509 | $6K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 2.1% | 262 | 199 | $5K |
10 more codes
| A7037 | Tubing used with positive airway pressure device | 1.4% | 281 | $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) | 1.1% | 20 | $3K |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | <1% | 163 | $2K |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | <1% | 232 | $2K |
| A7039 | Filter, non disposable, used with positive airway pressure device | <1% | 348 | $2K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 246 | $2K |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 75 | $2K |
| K0001 | Standard wheelchair | <1% | 126 | $775.60 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 429 | $624.15 |
| E0443 | Portable oxygen contents, gaseous, 1 month's supply = 1 unit | <1% | 111 | $376.54 |
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.