1285719484

1285719484 was paid $1.06M by Medicaid between Jan 2018 and Apr 2021, across 19 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 — 64% of everything it billed.

33Billing provider info1285719484

33aNPI1285719484

33bProvider type—

28Total paid$1.06M

24GClaims22,630

24DCodes billed19

24AFirst – last monthJan 2018 – Apr 2021

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	7,038	$233K
2019	7,260	$364K
2020	6,791	$372K
2021	1,541	$86K

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	64%	9,193	8,557	$673K
E0441	Stationary oxygen contents, gaseous, 1 month's supply = 1 unit	11%	2,245	2,085	$116K
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	6.2%	285	265	$65K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	5.6%	4,559	4,215	$59K
A7030	Full face mask used with positive airway pressure device, each	4.8%	653	598	$51K
E0601	Continuous positive airway pressure (cpap) device	2.5%	605	545	$27K
A7031	Face mask interface, replacement for full face mask, each	2.0%	574	520	$21K
A7035	Headgear used with positive airway pressure device	1.1%	683	638	$12K
A4604	Tubing with integrated heating element for use with positive airway pressure device	<1%	298	261	$6K
A7046	Water chamber for humidifier, used with positive airway pressure device, replacement, each	<1%	539	494	$5K
A7038	Filter, disposable, used with positive airway pressure device	<1%	1,472	1,364	$5K
E1392	Portable oxygen concentrator, rental	<1%	376	329	$4K

7 more codes

E0443	Portable oxygen contents, gaseous, 1 month's supply = 1 unit	<1%	585	$3K
A7037	Tubing used with positive airway pressure device	<1%	210	$2K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	<1%	74	$2K
E0570	Nebulizer, with compressor	<1%	203	$2K
E0562	Humidifier, heated, used with positive airway pressure device	<1%	13	$1K
A7032	Cushion for use on nasal mask interface, replacement only, each	<1%	40	$498.12
A7005	Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable	<1%	23	$401.78

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.