GRACE MEDICAL EQUIPMENT, LLC.
NPI: 1508950197
· TAHLEQUAH, OK 74464
· 332BX2000X
$2.78M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
5,727 |
$449K |
| 2019 |
5,889 |
$451K |
| 2020 |
6,314 |
$459K |
| 2021 |
5,115 |
$329K |
| 2022 |
5,261 |
$355K |
| 2023 |
5,227 |
$368K |
| 2024 |
4,923 |
$365K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T4535 |
Disposable liner/shield/pad |
13,064 |
12,201 |
$715K |
| T4527 |
Adult size pull-on lg |
5,919 |
5,488 |
$589K |
| T4526 |
Adult size pull-on med |
4,884 |
4,551 |
$409K |
| T4528 |
Adult size pull-on xl |
3,756 |
3,504 |
$408K |
| T4541 |
Large disposable underpad |
7,260 |
6,726 |
$267K |
| T4540 |
Reusable underpad chair size |
626 |
624 |
$98K |
| T1999 |
Noc retail items andsupplies |
423 |
387 |
$95K |
| T4543 |
Adult disp brief/diap abv xl |
463 |
426 |
$87K |
| B4150 |
Ef complet w/intact nutrient |
353 |
331 |
$48K |
| T4525 |
Adult size pull-on sm |
314 |
295 |
$25K |
| A4927 |
Non-sterile gloves |
1,207 |
1,133 |
$20K |
| E1399 |
Durable medical equipment mi |
135 |
129 |
$9K |
| T4544 |
Adlt disp und/pull on abv xl |
27 |
24 |
$5K |
| E0241 |
Bath tub wall rail |
13 |
13 |
$1K |
| E0240 |
Bath/shower chair |
12 |
12 |
$785.00 |