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NPI 1508031840
NPI deactivated
1508031840
1508031840 was paid $5.68M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is A4239, Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service — 26% of everything it billed.
33Billing provider info1508031840
33aNPI1508031840
33bProvider type—
28Total paid$5.68M
24GClaims73,305
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 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 | 4,519 | $358K | |
| 2019 | 5,177 | $367K | |
| 2020 | 5,402 | $392K | |
| 2021 | 8,088 | $719K | |
| 2022 | 13,836 | $1.07M | |
| 2023 | 19,509 | $1.35M | |
| 2024incomplete | 16,774 | $1.43M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 26% | 20,058 | 15,920 | $1.45M |
| A4230 | Infusion set for external insulin pump, non needle cannula type | 21% | 9,856 | 8,782 | $1.19M |
| E0784 | External ambulatory infusion pump, insulin | 20% | 6,108 | 5,111 | $1.13M |
| A9276 | Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply | 14% | 3,210 | 2,656 | $800K |
| A4232 | Syringe with needle for external insulin pump, sterile, 3 cc | 5.4% | 10,491 | 9,347 | $306K |
| K0553 | Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 5.3% | 9,946 | 8,019 | $299K |
| A4351 | Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each | 5.3% | 2,493 | 2,252 | $299K |
| E2103 | Non-adjunctive, non-implanted continuous glucose monitor or receiver | 1.6% | 1,813 | 1,345 | $92K |
| A4238 | Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 1.1% | 763 | 596 | $60K |
| A9277 | Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system | <1% | 30 | 29 | $16K |
| K0554 | Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system | <1% | 882 | 684 | $14K |
| A4231 | Infusion set for external insulin pump, needle type | <1% | 90 | 73 | $10K |
10 more codes
| A4357 | Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each | <1% | 326 | $2K |
| A4402 | Lubricant, per ounce | <1% | 335 | $1K |
| A4358 | Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each | <1% | 132 | $752.49 |
| A4349 | Male external catheter, with or without adhesive, disposable, each | <1% | 12 | $564.26 |
| A4409 | Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each | <1% | 12 | $554.94 |
| A4456 | Adhesive remover, wipes, any type, each | <1% | 122 | $498.26 |
| A4224 | Supplies for maintenance of insulin infusion catheter, per week | <1% | 3,254 | $364.14 |
| A5120 | Skin barrier, wipes or swabs, each | <1% | 107 | $360.66 |
| A4225 | Supplies for external insulin infusion pump, syringe type cartridge, sterile, each | <1% | 3,238 | $98.40 |
| K0603 | Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each | 0% | 27 | $0.00 |
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.