1275733206

1275733206 was paid $7.69M by Medicaid between Jan 2018 and Apr 2022, across 54 billing codes. Its largest line is E0465, Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) — 44% of everything it billed.

33Billing provider info1275733206

33aNPI1275733206

33bProvider type—

28Total paid$7.69M

24GClaims55,882

24DCodes billed54

24AFirst – last monthJan 2018 – Apr 2022

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	13,879	$1.63M
2019	12,445	$1.83M
2020	13,410	$1.92M
2021	12,792	$1.79M
2022	3,356	$513K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	44%	5,064	2,546	$3.42M
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	9.1%	5,120	4,882	$702K
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	8.5%	806	661	$651K
A4624	Tracheal suction catheter, any type other than closed system, each	5.6%	1,376	1,303	$432K
E0482	Cough stimulating device, alternating positive and negative airway pressure	3.6%	655	607	$275K
A4217	Sterile water/saline, 500 ml	3.2%	1,924	1,782	$249K
A4605	Tracheal suction catheter, closed system, each	3.1%	777	670	$235K
A4606	Oxygen probe for use with oximeter device, replacement	2.8%	3,003	2,872	$213K
A7526	Tracheostomy tube collar/holder, each	2.5%	2,032	1,878	$194K
A6251	Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	1.8%	1,014	958	$137K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	1.8%	5,363	5,110	$135K
E0600	Respiratory suction pump, home model, portable or stationary, electric	1.7%	2,487	2,380	$129K

42 more codes

A7509	Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each	1.7%	1,796	$127K
A6209	Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	1.6%	490	$121K
A7000	Canister, disposable, used with suction pump, each	1.3%	2,857	$102K
A6402	Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	1.2%	1,810	$89K
A7002	Tubing, used with suction pump, each	<1%	3,205	$72K
A4216	Sterile water, saline and/or dextrose, diluent/flush, 10 ml	<1%	2,272	$68K
A7520	Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each	<1%	849	$52K
K0003	Lightweight wheelchair	<1%	600	$45K
A4927	Gloves, non-sterile, per 100	<1%	2,420	$37K
A7521	Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each	<1%	654	$36K
E0439	Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing	<1%	280	$35K
A9900	Miscellaneous dme supply, accessory, and/or service component of another hcpcs code	<1%	2,001	$34K
A4628	Oral and/or oropharyngeal suction catheter, each	<1%	1,375	$19K
A6453	Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard	<1%	862	$15K
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)	<1%	28	$14K
A4627	Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler	<1%	311	$8K
A7046	Water chamber for humidifier, used with positive airway pressure device, replacement, each	<1%	441	$7K
E0445	Oximeter device for measuring blood oxygen levels non-invasively	<1%	14	$6K
E0434	Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing	<1%	168	$5K
S8189	Tracheostomy supply, not otherwise classified	<1%	83	$4K
A7004	Small volume nonfiltered pneumatic nebulizer, disposable	<1%	1,103	$4K
A6211	Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing	<1%	12	$4K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	<1%	36	$3K
A6216	Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	<1%	234	$2K
A9999	Miscellaneous dme supply or accessory, not otherwise specified	<1%	540	$2K
E1060	Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests	<1%	15	$2K
A7037	Tubing used with positive airway pressure device	<1%	30	$1K
A7013	Filter, disposable, used with aerosol compressor or ultrasonic generator	<1%	514	$803.73
A7525	Tracheostomy mask, each	<1%	165	$759.65
E0442	Stationary oxygen contents, liquid, 1 month's supply = 1 unit	<1%	15	$730.09
E0565	Compressor, air power source for equipment which is not self-contained or cylinder driven	<1%	12	$708.81
A7038	Filter, disposable, used with positive airway pressure device	<1%	70	$684.54
A4452	Tape, waterproof, per 18 square inches	<1%	112	$568.94
A4245	Alcohol wipes, per box	<1%	215	$529.39
A4332	Lubricant, individual sterile packet, each	<1%	267	$380.40
A4649	Surgical supply; miscellaneous	<1%	25	$273.86
A4456	Adhesive remover, wipes, any type, each	<1%	57	$155.32
A4209	Syringe with needle, sterile 5 cc or greater, each	<1%	170	$146.25
A4618	Breathing circuits	<1%	12	$110.24
A5120	Skin barrier, wipes or swabs, each	<1%	28	$84.37
A4450	Tape, non-waterproof, per 18 square inches	<1%	59	$70.19
A4208	Syringe with needle, sterile 3 cc, each	<1%	54	$46.65

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.