Supplier
Pomona Medical Supply, INC.
Pomona Medical Supply, INC. was paid $40K by Medicaid between Jan 2018 and Jul 2024, across 2 billing codes. Its largest line is T4541, Incontinence product, disposable underpad, large, each — 88% of everything it billed.
33Billing provider infoPOMONA MEDICAL SUPPLY, INC.
POMONA, CA 91767
POMONA, CA 91767
33aNPI1508179326assigned 07/21/2010
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$40K
24GClaims920
24DCodes billed2
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in California
Rank by total paid#411 of 946
Median peer was paid$15K
This provider vs. median2.6×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
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 | 170 | $10K | |
| 2019 | 133 | $8K | |
| 2021 | 92 | $3K | |
| 2022 | 234 | $11K | |
| 2023 | 217 | $6K | |
| 2024incomplete | 74 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T4541 | Incontinence product, disposable underpad, large, each | 88% | 884 | 871 | $35K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 12% | 36 | 36 | $5K |
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.
From NPPES
Who's on the registration
Authorized officialHELLIESEN, JOHN (CEO)