1497860282

1497860282 was paid $602K by Medicaid between Jan 2018 and Mar 2024, across 4 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 63% of everything it billed.

33Billing provider info1497860282

33aNPI1497860282

33bProvider type—

28Total paid$602K

24GClaims16,535

24DCodes billed4

24AFirst – last monthJan 2018 – Mar 2024

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
2018	1,320	$46K
2019	1,873	$85K
2020	2,052	$85K
2021	1,019	$11K
2022	5,741	$153K
2023	4,057	$202K
2024incomplete	473	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	63%	7,466	5,699	$378K
E0434	Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing	21%	5,296	4,178	$124K
E0442	Stationary oxygen contents, liquid, 1 month's supply = 1 unit	16%	3,629	2,565	$94K
E0439	Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing	<1%	144	122	$6K

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.