Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › SC › Lexington › NPI 1326431404
Supplier

Pediatric Mobility Innovations

Pediatric Mobility Innovations was paid $14.37M by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is E1399, Durable medical equipment, miscellaneous — 88% of everything it billed.

33Billing provider infoPEDIATRIC MOBILITY INNOVATIONS
LEXINGTON, SC 29073
33aNPI1326431404assigned 03/12/2015
28Total paid$14.37M
24GClaims17,438
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Customized Equipment (DME) providers in South Carolina

Rank by total paid#3 of 15
Median peer was paid$470K
This provider vs. median31×

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

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
20186,042$2.20M
20193,675$1.89M
20202,281$1.49M
20211,375$1.98M
20221,569$2.25M
20231,338$2.29M
2024incomplete1,158$2.27M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
E1399 Durable medical equipment, miscellaneous 88% 10,333 2,299 $12.65M
K0108 Wheelchair component or accessory, not otherwise specified 6.1% 3,786 700 $878K
E0641 Standing frame/table system, multi-position (e.g., three-way stander), any size including pediatric, with or without wheels 1.6% 41 39 $228K
E1236 Wheelchair, pediatric size, folding, adjustable, with seating system <1% 103 100 $129K
E2609 Custom fabricated wheelchair seat cushion, any size <1% 75 60 $92K
E1028 Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other <1% 604 192 $79K
E2617 Custom fabricated wheelchair back cushion, any size, including any type mounting hardware <1% 55 46 $73K
T5001 Positioning seat for persons with special orthopedic needs <1% 73 62 $62K
E0955 Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each <1% 313 250 $47K
E0960 Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware <1% 446 357 $28K
E8000 Gait trainer, pediatric size, posterior support, includes all accessories and components <1% 13 12 $25K
K0040 Adjustable angle footplate, each <1% 323 229 $20K
10 more codes
E0956 Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each <1% 247 $17K
E0978 Wheelchair accessory, positioning belt/safety belt/pelvic strap, each <1% 393 $9K
E0950 Wheelchair accessory, tray, each <1% 105 $7K
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% 215 $7K
E0240 Bath/shower chair, with or without wheels, any size <1% 16 $6K
T5999 Supply, not otherwise specified <1% 204 $3K
E0971 Manual wheelchair accessory, anti-tipping device, each <1% 29 $953.16
E0951 Heel loop/holder, any type, with or without ankle strap, each <1% 39 $639.30
E0952 Toe loop/holder, any type, each <1% 13 $421.20
A4554 Disposable underpads, all sizes <1% 12 $397.28

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 officialDOWNIE, SETH (PRESIDENT)