Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › HOUSTON › GRACE GRACE DURABLE MEDICAL EQUIPMENT AND SUPPLIES. LLC

GRACE GRACE DURABLE MEDICAL EQUIPMENT AND SUPPLIES. LLC

NPI: 1417524919 · HOUSTON, TX 77074 · 332B00000X

$9K
Total Medicaid Paid
249
Total Claims
210
Beneficiaries
5
Codes Billed
2024-07
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 249 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4239 Non-adju cgm supply allow 86 83 $7K
E2103 Non-adju cgm receiver/mon 80 78 $2K
L0651 Lso sag-co shell pnl pre ots 15 15 $833.95
A5512 Multi den insert direct form 34 17 $42.46
A5500 Diab shoe for density insert 34 17 $34.70