Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › FREDERICKSBURG › ARCHER-ROSE, LLC

ARCHER-ROSE, LLC

NPI: 1366857591 · FREDERICKSBURG, TX 78624 · Oxygen Equipment & Supplies (DME) · NPI assigned 06/26/2014

$2K
Total Medicaid Paid
114
Total Claims
109
Beneficiaries
3
Codes Billed
2019-08
First Month
2023-06
Last Month

Provider Details

Authorized OfficialHARRIS, CASEY (OWNER)
NPI Enumeration Date06/26/2014

Related Entities

Other providers sharing the same authorized official: HARRIS, CASEY

ProviderCityStateTotal Paid
ARCHER-ROSE, LLC KERRVILLE TX $289.93

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 36 $787.13
2020 24 $728.15
2021 13 $39.15
2022 13 $40.33
2023 28 $96.59

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 48 48 $1K
A7038 Filter, disposable, used with positive airway pressure device 54 49 $176.07
E0601 Continuous positive airway pressure (cpap) device 12 12 $142.45