Supplier
Elim Medical, INC.
Elim Medical, INC. was paid $39K by Medicaid between Jun 2018 and Oct 2020, across 30 billing codes. Its largest line is E1399, Durable medical equipment, miscellaneous — 46% of everything it billed.
33Billing provider infoELIM MEDICAL, INC.
POMONA, CA 91766
POMONA, CA 91766
33aNPI1407245293assigned 01/15/2015
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$39K
24GClaims2,196
24DCodes billed30
24AFirst – last monthJun 2018 – Oct 2020
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in California
Rank by total paid#413 of 946
Median peer was paid$15K
This provider vs. median2.5×
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 | 216 | $809.32 | |
| 2019 | 40 | $137.88 | |
| 2020 | 1,940 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E1399 | Durable medical equipment, miscellaneous | 46% | 294 | 81 | $18K |
| K0801 | Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds | 13% | 13 | 13 | $5K |
| E0272 | Mattress, foam rubber | 6.1% | 81 | 81 | $2K |
| K0739 | Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes | 5.4% | 181 | 174 | $2K |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | 5.0% | 110 | 55 | $2K |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 2.6% | 180 | 154 | $984.89 |
| K0003 | Lightweight wheelchair | 2.5% | 123 | 123 | $980.63 |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | 2.2% | 65 | 65 | $860.61 |
| L3710 | Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf | 2.1% | 158 | 79 | $812.00 |
| E0105 | Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips | 1.8% | 70 | 70 | $703.75 |
| K0069 | Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each | 1.5% | 14 | 14 | $593.85 |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | 1.5% | 114 | 57 | $561.86 |
18 more codes
| K0462 | Temporary replacement for patient owned equipment being repaired, any type | 1.3% | 13 | $503.68 |
| L1812 | Knee orthosis, elastic with joints, prefabricated, off-the-shelf | 1.1% | 78 | $442.84 |
| E0973 | Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each | 1.1% | 13 | $423.09 |
| K0052 | Swingaway, detachable footrests, replacement only, each | 1.1% | 14 | $416.44 |
| E0163 | Commode chair, mobile or stationary, with fixed arms | 1.0% | 32 | $404.47 |
| E0235 | Paraffin bath unit, portable (see medical supply code a4265 for paraffin) | <1% | 115 | $371.59 |
| E0156 | Seat attachment, walker | <1% | 83 | $343.62 |
| K0077 | Front caster assembly, complete, with solid tire, replacement only, each | <1% | 14 | $320.34 |
| E0978 | Wheelchair accessory, positioning belt/safety belt/pelvic strap, each | <1% | 39 | $218.15 |
| E0961 | Manual wheelchair accessory, wheel lock brake extension (handle), each | <1% | 14 | $138.78 |
| E0982 | Wheelchair accessory, back upholstery, replacement only, each | <1% | 14 | $107.35 |
| L0642 | Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf | <1% | 46 | $102.32 |
| E0981 | Wheelchair accessory, seat upholstery, replacement only, each | <1% | 14 | $83.97 |
| A4259 | Lancets, per box of 100 | <1% | 180 | $77.80 |
| A5512 | For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each | <1% | 43 | $37.42 |
| A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | <1% | 43 | $30.58 |
| A4256 | Normal, low and high calibrator solution / chips | <1% | 26 | $25.31 |
| E0210 | Electric heat pad, standard | <1% | 12 | $14.99 |
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 officialPARK, JOANNE (CEO)