Supplier
Medical Supplier NYC Corp
Medical Supplier NYC Corp was paid $637K by Medicaid between Nov 2019 and Sep 2020, across 6 billing codes. Its largest line is A4378, Ostomy pouch, drainable, for use on faceplate, rubber, each — 49% of everything it billed.
33Billing provider infoMEDICAL SUPPLIER NYC CORP
GLENDALE, NY 11385
GLENDALE, NY 11385
33aNPI1487269551assigned 09/15/2020
33bProvider typeCustomized Equipment (DME)
28Total paid$637K
24GClaims429
24DCodes billed6
24AFirst – last monthNov 2019 – Sep 2020
Compared with peers
Next to other Customized Equipment (DME) providers in New York
Rank by total paid#17 of 49
Median peer was paid$325K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2019 | 146 | $166K | |
| 2020 | 283 | $471K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A4378 | Ostomy pouch, drainable, for use on faceplate, rubber, each | 49% | 154 | 124 | $309K |
| A4396 | Ostomy belt with peristomal hernia support | 49% | 155 | 124 | $309K |
| A4379 | Ostomy pouch, urinary, with faceplate attached, plastic, each | 2.3% | 71 | 59 | $15K |
| A4380 | Ostomy pouch, urinary, with faceplate attached, rubber, each | <1% | 19 | 16 | $1K |
| A4376 | Ostomy pouch, drainable, with faceplate attached, rubber, each | <1% | 15 | 15 | $1K |
| A4383 | Ostomy pouch, urinary, for use on faceplate, rubber, each | <1% | 15 | 15 | $887.10 |
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 officialCLARKE, ROWAN (DIRECTOR)