CANTALOUPE HOLDINGS, LLC
NPI: 1295119212
· SANTA MONICA, CA 90404
· 314000000X
$737K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,081 |
$213K |
| 2019 |
3,058 |
$139K |
| 2020 |
4,160 |
$134K |
| 2021 |
5,567 |
$212K |
| 2022 |
450 |
$16K |
| 2023 |
1,580 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
|
9,166 |
755 |
$297K |
| 97110 |
|
5,385 |
682 |
$144K |
| A4623 |
Tracheostomy inner cannula |
565 |
529 |
$93K |
| A4629 |
Tracheostomy care kit |
578 |
538 |
$79K |
| A4216 |
Sterile water/saline, 10 ml |
407 |
374 |
$74K |
| A7526 |
Tracheostomy tube collar |
580 |
538 |
$26K |
| 97535 |
|
371 |
64 |
$11K |
| 97140 |
|
345 |
55 |
$5K |
| 97112 |
|
248 |
82 |
$4K |
| 97760 |
|
105 |
24 |
$2K |
| A7509 |
Heat & moisture exchange sys |
53 |
53 |
$2K |
| A7521 |
Trach/laryn tube cuffed |
38 |
38 |
$1K |
| G8988 |
Self care goal status |
20 |
13 |
$104.08 |
| G8987 |
Self care current status |
17 |
12 |
$93.79 |
| G8979 |
Mobility goal status |
18 |
12 |
$41.79 |