Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home
›
TX
›
SAN JUAN
› SAN JUAN DME
SAN JUAN DME
NPI: 1578919882 · SAN JUAN, TX 78589 ·
332B00000X
$35K
Total Medicaid Paid
1,540
Total Claims
1,532
Beneficiaries
3
Codes Billed
2019-05
First Month
2023-05
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2019
28
$581.86
2020
308
$6K
2021
374
$8K
2022
647
$16K
2023
183
$4K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
A4554
Disposable underpads
748
745
$27K
A4335
Incontinence supply
767
762
$4K
T4526
Adult size pull-on med
25
25
$3K