Medicaid Provider Spending

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

ELEGANCE MEDICAL SUPPLY CORP.

NPI: 1487306155 · SUNRISE, FL 33351 · Customized Equipment (DME) · NPI assigned 01/24/2022

$514.74
Total Medicaid Paid
37
Total Claims
27
Beneficiaries
2
Codes Billed
2022-10
First Month
2022-10
Last Month

Provider Details

Authorized OfficialPRADO, WALTER (AUTHORIZED OFFICIAL)
NPI Enumeration Date01/24/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 37 $514.74

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
L0637 Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 16 15 $273.36
L3916 Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf 21 12 $241.38