Medicaid Provider Spending

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

BETHANY MEDICAL SUPPLY INC.

NPI: 1477581544 · LA PUENTE, CA 91744 · Parenteral & Enteral Nutrition Supplies (DME) · NPI assigned 06/29/2006

$5K
Total Medicaid Paid
395
Total Claims
395
Beneficiaries
2
Codes Billed
2019-12
First Month
2022-08
Last Month

Provider Details

Authorized OfficialESSAYAS, HIBEST (CEO PRESIDENT)
NPI Enumeration Date06/29/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 13 $173.00
2020 53 $709.52
2021 235 $3K
2022 94 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
K0001 Standard wheelchair 272 272 $3K
E0143 Walker, folding, wheeled, adjustable or fixed height 123 123 $2K