Medicaid Provider Spending

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

JACKSON MEDICAL SUPPLY INC

NPI: 1386974491 · VACAVILLE, CA 95688 · Durable Medical Equipment & Medical Supplies · NPI assigned 01/12/2010

$49K
Total Medicaid Paid
786
Total Claims
784
Beneficiaries
2
Codes Billed
2019-03
First Month
2024-09
Last Month

Provider Details

Authorized OfficialWIGMORE, WENDY (OWNER)
NPI Enumeration Date01/12/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 37 $2K
2020 124 $9K
2021 150 $10K
2022 186 $12K
2023 122 $8K
2024 167 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
K0003 Lightweight wheelchair 565 564 $39K
K0001 Standard wheelchair 221 220 $10K