Medicaid Provider Spending

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

MEDICAL MART & DME

NPI: 1346507514 · MISSION, TX 78574 · Durable Medical Equipment & Medical Supplies · NPI assigned 04/12/2012

$9K
Total Medicaid Paid
472
Total Claims
450
Beneficiaries
7
Codes Billed
2021-07
First Month
2023-10
Last Month

Provider Details

Authorized OfficialFAT-ANTHONY, WILLIAM (PIC)
NPI Enumeration Date04/12/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 191 $3K
2022 218 $5K
2023 63 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E0570 Nebulizer, with compressor 96 92 $7K
A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable 98 95 $1K
A7017 Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen 46 44 $639.60
A7006 Administration set, with small volume filtered pneumatic nebulizer 95 92 $437.45
A7015 Aerosol mask, used with dme nebulizer 81 79 $73.19
A7004 Small volume nonfiltered pneumatic nebulizer, disposable 42 34 $0.00
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 14 14 $0.00