Supplier
Medsource Mobility LLC
Medsource Mobility LLC was paid $581K by Medicaid between Jan 2018 and Oct 2018, across 24 billing codes. Its largest line is K0861, Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds — 41% of everything it billed.
33Billing provider infoMEDSOURCE MOBILITY LLC
SANDY, UT 84070
SANDY, UT 84070
33aNPI1326288713assigned 02/25/2009
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$581K
24GClaims6,651
24DCodes billed24
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Utah
Rank by total paid#19 of 78
Median peer was paid$25K
This provider vs. median23×
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 | 6,651 | $581K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| K0861 | Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds | 41% | 174 | 111 | $238K |
| E1008 | Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction | 25% | 209 | 137 | $148K |
| E2311 | Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware | 11% | 362 | 238 | $63K |
| E1012 | Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each | 4.4% | 388 | 244 | $26K |
| E2313 | Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each | 4.2% | 358 | 237 | $24K |
| E2377 | Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue | 2.9% | 350 | 229 | $17K |
| E1028 | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other | 2.3% | 1,306 | 399 | $13K |
| K0823 | Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds | 1.8% | 532 | 412 | $10K |
| E1007 | Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction | 1.6% | 20 | 12 | $9K |
| K0739 | Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes | 1.2% | 315 | 175 | $7K |
| E2359 | Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) | <1% | 169 | 110 | $5K |
| E0955 | Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each | <1% | 495 | 309 | $5K |
12 more codes
| E2361 | Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) | <1% | 191 | $4K |
| K0108 | Wheelchair component or accessory, not otherwise specified | <1% | 227 | $3K |
| K0004 | High strength, lightweight wheelchair | <1% | 313 | $2K |
| E2374 | Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacement only | <1% | 391 | $2K |
| E2622 | Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth | <1% | 64 | $1K |
| K0040 | Adjustable angle footplate, each | <1% | 235 | $858.57 |
| E0956 | Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each | <1% | 89 | $763.46 |
| E2613 | Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware | <1% | 39 | $736.94 |
| E2611 | General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware | <1% | 82 | $664.92 |
| E2370 | Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only | <1% | 233 | $620.48 |
| K0001 | Standard wheelchair | <1% | 89 | $149.18 |
| E2603 | Skin protection wheelchair seat cushion, width less than 22 inches, any depth | <1% | 20 | $45.30 |
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 officialCHARLES, DAVID (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Medsource Orthotics & Prosthetics, INC | Phoenix, AZ | $45K |
| David a Charles MD PC | Rockville, MD | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.