MEDSOURCE MEDICAL DME LLC
NPI: 1508030743
· SUMMERVILLE, SC 29485
· 332B00000X
$1.09M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,114 |
$163K |
| 2019 |
5,687 |
$187K |
| 2020 |
5,171 |
$150K |
| 2021 |
5,151 |
$155K |
| 2022 |
5,204 |
$181K |
| 2023 |
4,694 |
$147K |
| 2024 |
3,953 |
$111K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads |
8,344 |
8,040 |
$265K |
| T4527 |
Adult size pull-on lg |
2,659 |
2,593 |
$138K |
| X1939 |
|
2,338 |
2,320 |
$137K |
| T4528 |
Adult size pull-on xl |
1,739 |
1,721 |
$118K |
| T5999 |
Supply, nos |
13,690 |
13,244 |
$100K |
| T4526 |
Adult size pull-on med |
2,020 |
1,998 |
$93K |
| T4534 |
Youth size pull-on |
686 |
634 |
$77K |
| T4535 |
Disposable liner/shield/pad |
2,633 |
2,576 |
$75K |
| T4543 |
Adult disp brief/diap abv xl |
481 |
470 |
$62K |
| T4525 |
Adult size pull-on sm |
246 |
241 |
$14K |
| T4523 |
Adult size brief/diaper lg |
60 |
60 |
$6K |
| T4524 |
Adult size brief/diaper xl |
36 |
36 |
$4K |
| T4522 |
Adult size brief/diaper med |
42 |
42 |
$3K |