Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LA FUENTE DME, INC.

NPI: 1346242849 · SULLIVAN CITY, TX 78595 · Durable Medical Equipment & Medical Supplies · NPI assigned 08/15/2005

$463K
Total Medicaid Paid
9,859
Total Claims
9,704
Beneficiaries
6
Codes Billed
2018-01
First Month
2023-01
Last Month

Provider Details

Authorized OfficialZAMORA, NOEL (PRESIDENT)
NPI Enumeration Date08/15/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,444 $49K
2019 2,155 $90K
2020 2,209 $104K
2021 2,288 $130K
2022 1,622 $83K
2023 141 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T4528 Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each 801 790 $142K
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each 881 869 $115K
A4554 Disposable underpads, all sizes 3,114 3,072 $109K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each 1,436 1,398 $53K
T4544 Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each 101 98 $26K
A4335 Incontinence supply; miscellaneous 3,526 3,477 $19K