VIDA MEDICAL SUPPLIES LLC
NPI: 1619924628
· RIO GRANDE CITY, TX 78582
· 332B00000X
$2.80M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
10,250 |
$386K |
| 2019 |
10,597 |
$389K |
| 2020 |
11,819 |
$440K |
| 2021 |
11,625 |
$477K |
| 2022 |
9,786 |
$387K |
| 2023 |
9,779 |
$397K |
| 2024 |
8,234 |
$324K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads |
17,107 |
16,793 |
$587K |
| T4527 |
Adult size pull-on lg |
5,653 |
5,575 |
$553K |
| T4535 |
Disposable liner/shield/pad |
14,214 |
14,054 |
$526K |
| T4526 |
Adult size pull-on med |
4,636 |
4,611 |
$390K |
| T4528 |
Adult size pull-on xl |
2,849 |
2,806 |
$309K |
| A4335 |
Incontinence supply |
23,912 |
23,465 |
$131K |
| T4523 |
Adult size brief/diaper lg |
1,177 |
1,154 |
$105K |
| B4150 |
Ef complet w/intact nutrient |
500 |
465 |
$72K |
| T4524 |
Adult size brief/diaper xl |
550 |
537 |
$55K |
| B4154 |
Ef spec metabolic noninherit |
136 |
129 |
$52K |
| T4522 |
Adult size brief/diaper med |
136 |
134 |
$10K |
| T4532 |
Ped size pull-on lg |
40 |
39 |
$5K |
| A4253 |
Blood glucose/reagent strips |
554 |
507 |
$3K |
| K0001 |
Standard wheelchair |
118 |
116 |
$1K |
| A4259 |
Lancets per box |
508 |
488 |
$372.09 |