Supplier
Active Mobility Center INC.
Active Mobility Center INC. was paid $559K by Medicaid between May 2018 and Nov 2024, across 19 billing codes. Its largest line is K0108, Wheelchair component or accessory, not otherwise specified — 19% of everything it billed.
33Billing provider infoACTIVE MOBILITY CENTER INC.
VICTORVILLE, CA 92395
VICTORVILLE, CA 92395
33aNPI1629281779assigned 05/07/2007
33bProvider typeCustomized Equipment (DME)
28Total paid$559K
24GClaims9,879
24DCodes billed19
24AFirst – last monthMay 2018 – Nov 2024
Compared with peers
Next to other Customized Equipment (DME) providers in California
Rank by total paid#24 of 65
Median peer was paid$216K
This provider vs. median2.6×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 162 | $7K | |
| 2019 | 356 | $34K | |
| 2020 | 171 | $7K | |
| 2021 | 205 | $110K | |
| 2022 | 1,036 | $69K | |
| 2023 | 4,516 | $237K | |
| 2024incomplete | 3,433 | $95K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| K0108 | Wheelchair component or accessory, not otherwise specified | 19% | 276 | 65 | $108K |
| E1399 | Durable medical equipment, miscellaneous | 17% | 102 | 88 | $97K |
| K0004 | High strength, lightweight wheelchair | 17% | 2,510 | 2,442 | $94K |
| E0147 | Walker, heavy duty, multiple braking system, variable wheel resistance | 15% | 622 | 613 | $84K |
| K0739 | Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes | 6.3% | 437 | 375 | $35K |
| E0240 | Bath/shower chair, with or without wheels, any size | 5.9% | 299 | 295 | $33K |
| E0295 | Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress | 4.1% | 579 | 574 | $23K |
| K0001 | Standard wheelchair | 2.8% | 467 | 460 | $16K |
| K0040 | Adjustable angle footplate, each | 2.2% | 1,999 | 1,917 | $12K |
| E2363 | Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) | 2.0% | 84 | 82 | $11K |
| K0806 | Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds | 1.7% | 16 | 16 | $9K |
| K0823 | Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds | 1.4% | 15 | 15 | $8K |
7 more codes
| E1031 | Rollabout chair, any and all types with casters 5" or greater | 1.2% | 399 | $7K |
| E0310 | Bed side rails, full length | 1.1% | 505 | $6K |
| E0156 | Seat attachment, walker | 1.1% | 834 | $6K |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | <1% | 537 | $4K |
| E2366 | Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each | <1% | 42 | $3K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | <1% | 131 | $2K |
| E0271 | Mattress, innerspring | <1% | 25 | $306.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSHALIKAR, MOHAMMAD (OWNER)