Medicaid Provider Spending

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

MIRACLE DURABLE MEDICAL EQUIPMENT INC

NPI: 1477663797 · DURANT, OK 74701 · Durable Medical Equipment & Medical Supplies · NPI assigned 08/30/2006

$10K
Total Medicaid Paid
392
Total Claims
392
Beneficiaries
2
Codes Billed
2018-01
First Month
2019-12
Last Month

Provider Details

Authorized OfficialLOE, HENRY (CEO OWNER)
NPI Enumeration Date08/30/2006

Related Entities

Other providers sharing the same authorized official: LOE, HENRY

ProviderCityStateTotal Paid
PATRICK HENRY MEDICAL LLC SHERMAN TX $354K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 339 $7K
2019 53 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 286 286 $9K
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 106 106 $931.78