Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ALLY MEDICAL SUPPLY INC

NPI: 1528693611 · INDIANAPOLIS, IN 46260 · Durable Medical Equipment & Medical Supplies · NPI assigned 03/09/2020

$43K
Total Medicaid Paid
1,196
Total Claims
983
Beneficiaries
4
Codes Billed
2020-11
First Month
2024-08
Last Month

Provider Details

Authorized OfficialABOLGAR, FIRAS (OWNER)
NPI Enumeration Date03/09/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 43 $558.39
2021 259 $6K
2022 287 $7K
2023 190 $8K
2024 417 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4239 Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 501 392 $24K
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 660 562 $18K
A6549 Gradient compression garment, not otherwise specified, for daytime use, each 16 15 $1K
E0607 Home blood glucose monitor 19 14 $191.19