Medicaid Provider Spending

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

POMONA MEDICAL SUPPLY, INC.

NPI: 1508179326 · POMONA, CA 91767 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/21/2010

$40K
Total Medicaid Paid
920
Total Claims
907
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialHELLIESEN, JOHN (CEO)
NPI Enumeration Date07/21/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 170 $10K
2019 133 $8K
2021 92 $3K
2022 234 $11K
2023 217 $6K
2024 74 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T4541 Incontinence product, disposable underpad, large, each 884 871 $35K
T4523 Adult sized disposable incontinence product, brief/diaper, large, each 36 36 $5K