Supplier
Forever Active INC
Forever Active INC was paid $200K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is K0739, Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes — 37% of everything it billed.
33Billing provider infoFOREVER ACTIVE INC
GLENDALE, CA 91204
GLENDALE, CA 91204
33aNPI1457654253assigned 12/16/2010
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$200K
24GClaims722
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in California
Rank by total paid#306 of 946
Median peer was paid$15K
This provider vs. median13×
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 | 94 | $25K | |
| 2019 | 196 | $51K | |
| 2020 | 77 | $21K | |
| 2022 | 13 | $3K | |
| 2023 | 81 | $20K | |
| 2024incomplete | 261 | $82K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| K0739 | Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes | 37% | 276 | 264 | $75K |
| E1028 | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other | 25% | 177 | 132 | $50K |
| E2620 | Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware | 16% | 69 | 69 | $32K |
| E2605 | Positioning wheelchair seat cushion, width less than 22 inches, any depth | 6.9% | 58 | 58 | $14K |
| E2395 | Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each | 3.8% | 39 | 39 | $8K |
| E2387 | Power wheelchair accessory, foam filled caster tire, any size, replacement only, each | 3.0% | 27 | 27 | $6K |
| E2366 | Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each | 3.0% | 25 | 24 | $6K |
| E2386 | Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each | 1.8% | 13 | 13 | $4K |
| E2361 | Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) | 1.5% | 12 | 12 | $3K |
| E2394 | Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each | <1% | 13 | 13 | $2K |
| E0955 | Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each | <1% | 13 | 13 | $2K |
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 officialLIBARIAN, JASMINE (PRESIDENT)