Fayette Medical Supply, INC.

Fayette Medical Supply, INC. was paid $12K by Medicaid between Dec 2020 and May 2023, across 2 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 — 99% of everything it billed.

33Billing provider infoFAYETTE MEDICAL SUPPLY, INC.
LA GRANGE, TX 78945

33aNPI1295790061assigned 04/17/2006

33bProvider typeDurable Medical Equipment & Medical Supplies

28Total paid$12K

24GClaims185

24DCodes billed2

24AFirst – last monthDec 2020 – May 2023

Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Texas

Rank by total paid#418 of 566

Median peer was paid$142K

This provider vs. median0.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

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
2020	12	$920.60
2021	101	$6K
2022	36	$2K
2023	36	$3K

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	99%	173	173	$12K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	1.4%	12	12	$173.44

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.

From NPPES

Who's on the registration

Authorized officialHERNANDEZ, JONATHAN (OPERATIONS MANAGER)