Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Essential Hme, LLC.

Essential Hme, LLC. was paid $5K by Medicaid between Jan 2018 and Jan 2018, across 6 billing codes. Its largest line is L0650, Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf — 45% of everything it billed.

33Billing provider infoESSENTIAL HME, LLC.
SAN DIEGO, CA 92108
33aNPI1366995144assigned 07/28/2016
28Total paid$5K
24GClaims126
24DCodes billed6
24AFirst – last monthJan 2018 – Jan 2018
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in California

Rank by total paid#548 of 946
Median peer was paid$15K
This provider vs. median0.4×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
2018126$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
L0650 Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf 45% 18 18 $2K
L3960 Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment 14% 14 14 $784.54
L3916 Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf 14% 18 18 $759.02
L1971 Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment 13% 28 14 $712.20
L1851 Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf 12% 32 16 $663.92
L2397 Addition to lower extremity orthosis, suspension sleeve 1.6% 16 16 $85.31

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 officialADAMS, MONICA (OWNER)