Medicaid Provider Spending

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

MEDICAL SUPPLY SUPERSTORE INC

NPI: 1568570794 · LAKE ELSINORE, CA 92530 · Durable Medical Equipment & Medical Supplies · NPI assigned 08/28/2006

$21K
Total Medicaid Paid
174
Total Claims
172
Beneficiaries
6
Codes Billed
2018-03
First Month
2024-07
Last Month

Provider Details

Authorized OfficialSAADAT, MOWAFFAQ (PRESIDENT)
NPI Enumeration Date08/28/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 37 $2K
2019 12 $2K
2021 13 $776.10
2022 14 $2K
2023 18 $4K
2024 80 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E0601 Continuous positive airway pressure (cpap) device 43 43 $9K
E0570 Nebulizer, with compressor 55 54 $7K
K0001 Standard wheelchair 12 12 $2K
E0143 Walker, folding, wheeled, adjustable or fixed height 37 36 $2K
A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable 12 12 $475.20
A7015 Aerosol mask, used with dme nebulizer 15 15 $73.26