Medicaid Provider Spending

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

UPSTATE MEDICAL SUPPLY LLC

NPI: 1386677862 · UNION, SC 29379 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/08/2006

$54K
Total Medicaid Paid
1,463
Total Claims
1,124
Beneficiaries
7
Codes Billed
2018-02
First Month
2024-08
Last Month

Provider Details

Authorized OfficialROHDE, ERIC (MANAGING MEMBER)
NPI Enumeration Date07/08/2006

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
KAYDAR, INC. SEGUIN TX $15K
MEDSOURCE LLC DEXTER MI $9K
MEDSOURCE LLC INDIANAPOLIS IN $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 31 $2K
2022 290 $14K
2023 860 $27K
2024 282 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E0570 Nebulizer, with compressor 541 409 $37K
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 306 226 $13K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 238 176 $2K
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 212 176 $423.58
E0601 Continuous positive airway pressure (cpap) device 16 12 $379.87
A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable 14 13 $283.92
A7015 Aerosol mask, used with dme nebulizer 136 112 $211.62