Medicaid Provider Spending

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

THE DME BOUTIQUE LLC

NPI: 1457803066 · PEMBROKE PINES, FL 33024 · Durable Medical Equipment & Medical Supplies · NPI assigned 10/30/2016

$47K
Total Medicaid Paid
1,109
Total Claims
830
Beneficiaries
4
Codes Billed
2020-09
First Month
2024-10
Last Month

Provider Details

Authorized OfficialALMONACID, JOHN (CEO)
NPI Enumeration Date10/30/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 58 $202.28
2021 84 $4K
2022 108 $4K
2023 443 $18K
2024 416 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
L8020 Breast prosthesis, mastectomy form 447 280 $28K
L8030 Breast prosthesis, silicone or equal, without integral adhesive 98 68 $11K
L8000 Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type 513 432 $7K
L8015 External breast prosthesis garment, with mastectomy form, post mastectomy 51 50 $2K