Medicaid Provider Spending

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

QUEEN OF ANGELS MEDICAL SUPPLY INC

NPI: 1417424797 · NORTH HOLLYWOOD, CA 91606 · Durable Medical Equipment & Medical Supplies · NPI assigned 10/25/2018

$3K
Total Medicaid Paid
464
Total Claims
437
Beneficiaries
4
Codes Billed
2020-09
First Month
2024-10
Last Month

Provider Details

Authorized OfficialKAKOSIMIDI, KHRIST (CEO)
NPI Enumeration Date10/25/2018

Related Entities

Other providers sharing the same authorized official: KAKOSIMIDI, KHRIST

ProviderCityStateTotal Paid
KHRIST KAKOSIMIDI NORTH HOLLYWOOD CA $5.68M
MYHHBS INC. GLENDALE CA $876K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 68 $640.32
2021 14 $84.93
2022 183 $1K
2023 86 $576.86
2024 113 $444.55

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
K0001 Standard wheelchair 382 381 $3K
E0260 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress 30 30 $411.64
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 26 13 $0.00
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 26 13 $0.00