Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› THE DME BOUTIQUE LLC
THE DME BOUTIQUE LLC
NPI: 1457803066 · PEMBROKE PINES, FL 33024 ·
332B00000X
$47K
Total Medicaid Paid
1,109
Total Claims
830
Beneficiaries
4
Codes Billed
2020-09
First Month
2024-10
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2020
58
$202.28
2021
84
$4K
2022
108
$4K
2023
443
$18K
2024
416
$22K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
L8020
Mastectomy form
447
280
$28K
L8030
Breast prosthes w/o adhesive
98
68
$11K
L8000
Mastectomy bra
513
432
$7K
L8015
Ext breastprosthesis garment
51
50
$2K