Medicaid Provider Spending

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

SAN JUAN DME

NPI: 1578919882 · SAN JUAN, TX 78589 · Durable Medical Equipment & Medical Supplies · NPI assigned 05/05/2016

$35K
Total Medicaid Paid
1,540
Total Claims
1,532
Beneficiaries
3
Codes Billed
2019-05
First Month
2023-05
Last Month

Provider Details

Authorized OfficialLOPEZ, YVONNE (PRESIDENT)
NPI Enumeration Date05/05/2016

Related Entities

Other providers sharing the same authorized official: LOPEZ, YVONNE

ProviderCityStateTotal Paid
PUERTO RICAN ASSOCIATION FOR HUMAN DEVELOPMENT, INC PERTH AMBOY NJ $1.56M
CAMARRILLO SPRINGS DENTAL GROUP CAMARILLO CA $1.13M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 28 $581.86
2020 308 $6K
2021 374 $8K
2022 647 $16K
2023 183 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4554 Disposable underpads, all sizes 748 745 $27K
A4335 Incontinence supply; miscellaneous 767 762 $4K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each 25 25 $3K