1508941659

1508941659 was paid $367K by Medicaid between Jan 2018 and May 2020, across 12 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 — 67% of everything it billed.

33Billing provider info1508941659

33aNPI1508941659

33bProvider type—

28Total paid$367K

24GClaims11,402

24DCodes billed12

24AFirst – last monthJan 2018 – May 2020

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	4,604	$147K
2019	4,880	$156K
2020	1,918	$64K

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	67%	5,365	5,096	$248K
E0441	Stationary oxygen contents, gaseous, 1 month's supply = 1 unit	21%	1,822	1,704	$77K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	9.9%	3,382	3,210	$36K
E1392	Portable oxygen concentrator, rental	<1%	262	252	$2K
E0601	Continuous positive airway pressure (cpap) device	<1%	27	27	$994.64
A7038	Filter, disposable, used with positive airway pressure device	<1%	414	396	$906.08
E0562	Humidifier, heated, used with positive airway pressure device	<1%	12	12	$600.78
A7035	Headgear used with positive airway pressure device	<1%	39	38	$479.79
E0570	Nebulizer, with compressor	<1%	29	26	$409.22
A7031	Face mask interface, replacement for full face mask, each	<1%	14	13	$383.63
A7037	Tubing used with positive airway pressure device	<1%	20	16	$298.61
A7003	Administration set, with small volume nonfiltered pneumatic nebulizer, disposable	<1%	16	14	$27.26

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.