Medicaid Provider Spending

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

PROVIDACARE MEDICAL SUPPLY LTD

NPI: 1457395568 · AUSTIN, TX 78759 · Oxygen Equipment & Supplies (DME) · NPI assigned 06/16/2006

$1K
Total Medicaid Paid
76
Total Claims
76
Beneficiaries
2
Codes Billed
2018-01
First Month
2018-04
Last Month

Provider Details

Authorized OfficialBENNETT, RYAN (CEO)
NPI Enumeration Date06/16/2006

Related Entities

Other providers sharing the same authorized official: BENNETT, RYAN

ProviderCityStateTotal Paid
ACCURATE RESPIRATORY INC AUSTIN TX $174.07

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 76 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 51 51 $1K
K0738 Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing 25 25 $0.00