1417015140

1417015140 was paid $485K by Medicaid between Jan 2018 and Mar 2021, across 8 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 80% of everything it billed.

33Billing provider info1417015140

33aNPI1417015140

33bProvider type—

28Total paid$485K

24GClaims11,407

24DCodes billed8

24AFirst – last monthJan 2018 – Mar 2021

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	3,583	$114K
2019	3,684	$161K
2020	3,417	$170K
2021	723	$40K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	80%	6,127	5,618	$389K
E0441	Stationary oxygen contents, gaseous, 1 month's supply = 1 unit	11%	985	934	$53K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	7.4%	3,138	2,790	$36K
E0443	Portable oxygen contents, gaseous, 1 month's supply = 1 unit	1.0%	849	484	$5K
E0601	Continuous positive airway pressure (cpap) device	<1%	34	25	$872.63
E0442	Stationary oxygen contents, liquid, 1 month's supply = 1 unit	<1%	78	48	$679.72
A7038	Filter, disposable, used with positive airway pressure device	<1%	168	154	$481.10
A7037	Tubing used with positive airway pressure device	<1%	28	26	$322.84

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.