CUSTOM MEDICAL EQUIPMENT LLC
NPI: 1306093463
· GRAND RAPIDS, MN 55744
· 332BC3200X
$692K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
200 |
$55K |
| 2021 |
157 |
$27K |
| 2022 |
497 |
$90K |
| 2023 |
1,727 |
$344K |
| 2024 |
889 |
$177K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1161 |
Manual adult wc w tiltinspac |
415 |
408 |
$265K |
| K0108 |
W/c component-accessory nos |
1,025 |
408 |
$253K |
| E1028 |
W/c manual swingaway |
707 |
599 |
$59K |
| K0739 |
Repair/svc dme non-oxygen eq |
764 |
684 |
$55K |
| E0955 |
Cushioned headrest |
438 |
428 |
$29K |
| E2609 |
Custom fabricate w/c cushion |
12 |
12 |
$22K |
| E0973 |
W/ch access det adj armrest |
28 |
26 |
$3K |
| K0040 |
Adjustable angle footplate |
28 |
26 |
$3K |
| E0971 |
Wheelchair anti-tipping devi |
25 |
24 |
$2K |
| E2213 |
Pneumatic prop tire insert |
28 |
26 |
$1K |