Medicaid Provider Spending

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

ELITE MEDICAL SUPPLY

NPI: 1598243057 · RED BANK, NJ 07701 · Durable Medical Equipment & Medical Supplies · NPI assigned 08/06/2018

$0.00
Total Medicaid Paid
65
Total Claims
39
Beneficiaries
3
Codes Billed
2020-07
First Month
2020-07
Last Month

Provider Details

Authorized OfficialPULVIRENTI, ANGELICA (OWNER)
NPI Enumeration Date08/06/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 65 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
L2397 Addition to lower extremity orthosis, suspension sleeve 26 13 $0.00
L1851 Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf 26 13 $0.00
L0650 Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf 13 13 $0.00