Supplier
Fifty 50 Medical LLC
Fifty 50 Medical LLC was paid $54.73M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is K0553, Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service — 43% of everything it billed.
33Billing provider infoFIFTY 50 MEDICAL LLC
COPPELL, TX 75019
COPPELL, TX 75019
33aNPI1376797704assigned 11/12/2008
33bProvider typePharmacy
28Total paid$54.73M
24GClaims144,871
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pharmacy providers in Texas
Rank by total paid#2 of 26
Median peer was paid$2K
This provider vs. median30,981×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 89 | $344.02 | |
| 2019 | 13 | $763.54 | |
| 2020 | 7,701 | $3.19M | |
| 2021 | 35,473 | $16.19M | |
| 2022 | 45,038 | $20.00M | |
| 2023 | 35,379 | $10.02M | |
| 2024incomplete | 21,178 | $5.33M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| K0553 | Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 43% | 41,172 | 39,609 | $23.71M |
| A9274 | External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories | 36% | 37,017 | 36,119 | $19.61M |
| A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 12% | 26,824 | 26,507 | $6.49M |
| A6258 | Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing | 2.4% | 21,075 | 20,648 | $1.32M |
| K0554 | Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system | 2.0% | 2,599 | 2,472 | $1.11M |
| E0784 | External ambulatory infusion pump, insulin | 1.3% | 2,011 | 1,958 | $728K |
| A4230 | Infusion set for external insulin pump, non needle cannula type | 1.1% | 4,463 | 4,166 | $596K |
| A4238 | Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | <1% | 2,121 | 2,081 | $471K |
| E2103 | Non-adjunctive, non-implanted continuous glucose monitor or receiver | <1% | 1,299 | 1,279 | $343K |
| A9276 | Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply | <1% | 634 | 615 | $139K |
| A4232 | Syringe with needle for external insulin pump, sterile, 3 cc | <1% | 4,825 | 4,154 | $111K |
| A9277 | Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system | <1% | 212 | 209 | $65K |
3 more codes
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 officialWILSON, MAXINE (GM)