1508169038

1508169038 was paid $852K by Medicaid between Jan 2018 and Sep 2021, across 31 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 — 38% of everything it billed.

33Billing provider info1508169038

33aNPI1508169038

33bProvider type—

28Total paid$852K

24GClaims17,697

24DCodes billed31

24AFirst – last monthJan 2018 – Sep 2021

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	7,816	$360K
2019	7,804	$379K
2020	1,934	$98K
2021	143	$14K

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	38%	4,007	3,333	$327K
E0601	Continuous positive airway pressure (cpap) device	11%	1,207	1,017	$90K
E0570	Nebulizer, with compressor	10%	1,768	1,601	$86K
A7031	Face mask interface, replacement for full face mask, each	6.7%	941	765	$57K
A7030	Full face mask used with positive airway pressure device, each	6.3%	623	521	$54K
K0738	Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing	4.3%	1,682	1,464	$37K
E0470	Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)	3.5%	280	233	$30K
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	2.8%	644	582	$24K
E0114	Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips	2.2%	574	550	$19K
L3670	Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf	1.9%	188	181	$16K
A7038	Filter, disposable, used with positive airway pressure device	1.6%	975	802	$14K
A7005	Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable	1.6%	594	562	$14K

19 more codes

L4386	Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	1.6%	131	$13K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	1.6%	613	$13K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	1.5%	293	$13K
A7035	Headgear used with positive airway pressure device	1.4%	600	$12K
A7032	Cushion for use on nasal mask interface, replacement only, each	1.3%	215	$11K
A7039	Filter, non disposable, used with positive airway pressure device	<1%	555	$4K
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	<1%	74	$3K
K0003	Lightweight wheelchair	<1%	67	$3K
E0143	Walker, folding, wheeled, adjustable or fixed height	<1%	57	$3K
A7037	Tubing used with positive airway pressure device	<1%	914	$2K
E1392	Portable oxygen concentrator, rental	<1%	368	$2K
E0562	Humidifier, heated, used with positive airway pressure device	<1%	14	$1K
A4565	Slings	<1%	192	$1K
L1830	Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf	<1%	17	$846.24
A6530	Gradient compression stocking, below knee, 18-30 mmhg, each	<1%	14	$789.62
L1902	Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf	<1%	13	$662.26
A7046	Water chamber for humidifier, used with positive airway pressure device, replacement, each	<1%	51	$598.25
L0172	Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf	<1%	13	$446.44
L3260	Surgical boot/shoe, each	<1%	13	$216.10

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.