1508942236

1508942236 was paid $492K by Medicaid between Jan 2018 and Feb 2022, across 12 billing codes. Its largest line is A4520, Incontinence garment, any type, (e.g., brief, diaper), each — 54% of everything it billed.

33Billing provider info1508942236

33aNPI1508942236

33bProvider type—

28Total paid$492K

24GClaims8,164

24DCodes billed12

24AFirst – last monthJan 2018 – Feb 2022

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	2,318	$132K
2019	1,307	$79K
2020	2,165	$137K
2021	2,221	$133K
2022	153	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A4520	Incontinence garment, any type, (e.g., brief, diaper), each	54%	2,237	2,179	$266K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	26%	1,963	1,853	$129K
A4554	Disposable underpads, all sizes	8.3%	1,525	1,469	$41K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	4.2%	975	931	$21K
E0570	Nebulizer, with compressor	3.5%	482	477	$17K
A7037	Tubing used with positive airway pressure device	1.3%	270	256	$6K
A7038	Filter, disposable, used with positive airway pressure device	1.0%	387	359	$5K
E0601	Continuous positive airway pressure (cpap) device	<1%	132	123	$4K
A7003	Administration set, with small volume nonfiltered pneumatic nebulizer, disposable	<1%	73	73	$1K
K0001	Standard wheelchair	<1%	80	77	$1K
A7035	Headgear used with positive airway pressure device	<1%	16	14	$288.28
A7039	Filter, non disposable, used with positive airway pressure device	<1%	24	24	$141.20

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.