Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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1508206251

1508206251 was paid $745K by Medicaid between Jan 2018 and Apr 2022, across 41 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 — 29% of everything it billed.

33Billing provider info1508206251
33aNPI1508206251
33bProvider type—
28Total paid$745K
24GClaims27,436
24DCodes billed41
24AFirst – last monthJan 2018 – Apr 2022
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20184,488$110K
20194,465$121K
20206,668$174K
20218,567$240K
20223,248$101K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 29% 4,231 4,211 $214K
B4150 Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 22% 2,402 2,203 $166K
E0261 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress 9.7% 3,334 3,317 $73K
K0003 Lightweight wheelchair 8.9% 3,089 3,051 $66K
E0601 Continuous positive airway pressure (cpap) device 6.0% 1,163 1,161 $45K
E0630 Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) 3.5% 954 951 $26K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 3.2% 1,609 1,600 $24K
E0570 Nebulizer, with compressor 2.3% 1,411 1,403 $17K
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 1.7% 262 242 $12K
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 1.6% 508 497 $12K
A4595 Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) 1.3% 463 454 $10K
B4152 Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 1.1% 129 120 $9K
29 more codes
E0562 Humidifier, heated, used with positive airway pressure device <1% 863 $7K
E0971 Manual wheelchair accessory, anti-tipping device, each <1% 704 $7K
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 <1% 821 $6K
A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable <1% 513 $5K
E0961 Manual wheelchair accessory, wheel lock brake extension (handle), each <1% 704 $5K
E0973 Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each <1% 419 $4K
E0143 Walker, folding, wheeled, adjustable or fixed height <1% 143 $4K
E2611 General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware <1% 89 $4K
A7030 Full face mask used with positive airway pressure device, each <1% 81 $3K
S5199 Personal care item, nos, each <1% 226 $3K
E0730 Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation <1% 92 $3K
E1392 Portable oxygen concentrator, rental <1% 548 $3K
A7037 Tubing used with positive airway pressure device <1% 205 $2K
E0951 Heel loop/holder, any type, with or without ankle strap, each <1% 448 $2K
A7035 Headgear used with positive airway pressure device <1% 165 $2K
E2601 General use wheelchair seat cushion, width less than 22 inches, any depth <1% 144 $2K
E0260 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress <1% 26 $2K
E0184 Dry pressure mattress <1% 59 $1K
A4259 Lancets, per box of 100 <1% 410 $1K
A7038 Filter, disposable, used with positive airway pressure device <1% 347 $1K
E0156 Seat attachment, walker <1% 127 $753.50
E0163 Commode chair, mobile or stationary, with fixed arms <1% 25 $490.52
A7015 Aerosol mask, used with dme nebulizer <1% 449 $468.11
A7000 Canister, disposable, used with suction pump, each <1% 83 $352.30
A4628 Oral and/or oropharyngeal suction catheter, each <1% 46 $306.34
E0165 Commode chair, mobile or stationary, with detachable arms <1% 37 $263.56
A7526 Tracheostomy tube collar/holder, each <1% 15 $177.84
E0561 Humidifier, non-heated, used with positive airway pressure device <1% 24 $160.77
A7002 Tubing, used with suction pump, each <1% 68 $108.72

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.