Medical Supply Superstore INC

Medical Supply Superstore INC was paid $21K by Medicaid between Mar 2018 and Jul 2024, across 6 billing codes. Its largest line is E0601, Continuous positive airway pressure (cpap) device — 44% of everything it billed.

33Billing provider infoMEDICAL SUPPLY SUPERSTORE INC
LAKE ELSINORE, CA 92530

33aNPI1568570794assigned 08/28/2006

33bProvider typeDurable Medical Equipment & Medical Supplies

28Total paid$21K

24GClaims174

24DCodes billed6

24AFirst – last monthMar 2018 – Jul 2024

Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in California

Rank by total paid#457 of 946

Median peer was paid$15K

This provider vs. median1.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

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	37	$2K
2019	12	$2K
2021	13	$776.10
2022	14	$2K
2023	18	$4K
2024incomplete	80	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
E0601	Continuous positive airway pressure (cpap) device	44%	43	43	$9K
E0570	Nebulizer, with compressor	31%	55	54	$7K
K0001	Standard wheelchair	12%	12	12	$2K
E0143	Walker, folding, wheeled, adjustable or fixed height	9.9%	37	36	$2K
A7005	Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable	2.3%	12	12	$475.20
A7015	Aerosol mask, used with dme nebulizer	<1%	15	15	$73.26

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.

From NPPES

Who's on the registration

Authorized officialSAADAT, MOWAFFAQ (PRESIDENT)