Supplier
Custom Medical Equipment LLC
Custom Medical Equipment LLC was paid $692K by Medicaid between Feb 2018 and Nov 2024, across 10 billing codes. Its largest line is E1161, Manual adult size wheelchair, includes tilt in space — 38% of everything it billed.
33Billing provider infoCUSTOM MEDICAL EQUIPMENT LLC
GRAND RAPIDS, MN 55744
GRAND RAPIDS, MN 55744
33aNPI1306093463assigned 08/20/2008
33bProvider typeCustomized Equipment (DME)
28Total paid$692K
24GClaims3,470
24DCodes billed10
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Customized Equipment (DME) providers in Minnesota
Rank by total paid#13 of 32
Median peer was paid$378K
This provider vs. median1.8×
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 | |
|---|---|---|---|
| 2018 | 200 | $55K | |
| 2021 | 157 | $27K | |
| 2022 | 497 | $90K | |
| 2023 | 1,727 | $344K | |
| 2024incomplete | 889 | $177K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E1161 | Manual adult size wheelchair, includes tilt in space | 38% | 415 | 408 | $265K |
| K0108 | Wheelchair component or accessory, not otherwise specified | 37% | 1,025 | 408 | $253K |
| E1028 | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other | 8.5% | 707 | 599 | $59K |
| K0739 | Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes | 8.0% | 764 | 684 | $55K |
| E0955 | Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each | 4.2% | 438 | 428 | $29K |
| E2609 | Custom fabricated wheelchair seat cushion, any size | 3.2% | 12 | 12 | $22K |
| E0973 | Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each | <1% | 28 | 26 | $3K |
| K0040 | Adjustable angle footplate, each | <1% | 28 | 26 | $3K |
| E0971 | Manual wheelchair accessory, anti-tipping device, each | <1% | 25 | 24 | $2K |
| E2213 | Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each | <1% | 28 | 26 | $1K |
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 officialCZERNY, JOSEPHINE (OWNER)