Medicaid Provider Spending

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

MEDSOURCE LLC

NPI: 1376743922 · DEXTER, MI 48130 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/23/2007

$9K
Total Medicaid Paid
86
Total Claims
86
Beneficiaries
1
Codes Billed
2018-01
First Month
2020-06
Last Month

Provider Details

Authorized OfficialROHDE, ERIC (OWNER)
NPI Enumeration Date07/23/2007

Related Entities

Other providers sharing the same authorized official: ROHDE, ERIC

ProviderCityStateTotal Paid
LIFELINE VALLEY CARE, LLC PHARR TX $2.88M
MEDSOURCE, LLC COLORADO SPRINGS CO $2.34M
PIEDMONT MEDICAL SUPPLY, INC HICKORY NC $1.48M
MEDSOURCE LLC BLOOMINGTON IL $369K
MEDSOURCE LLC DES PLAINES IL $172K
MEDSOURCE LLC HALES CORNERS WI $112K
UPSTATE MEDICAL SUPPLY LLC UNION SC $54K
KAYDAR, INC. SEGUIN TX $15K
MEDSOURCE LLC INDIANAPOLIS IN $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 71 $8K
2020 15 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E0603 Breast pump, electric (ac and/or dc), any type 86 86 $9K