ELITE MEDICAL SUPPLY GROUP LLC
NPI: 1629623210
· BROOKLYN, NY 11235
· 332B00000X
$150K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
1,773 |
$91K |
| 2024 |
1,680 |
$59K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3030 |
Foot arch support remov prem |
431 |
341 |
$37K |
| A4554 |
Disposable underpads |
793 |
772 |
$26K |
| T4535 |
Disposable liner/shield/pad |
805 |
785 |
$24K |
| T4523 |
Adult size brief/diaper lg |
272 |
263 |
$19K |
| L3216 |
Orthoped ladies shoes dpth i |
294 |
240 |
$17K |
| T4539 |
Reuse diaper/brief any size |
329 |
314 |
$10K |
| T4524 |
Adult size brief/diaper xl |
111 |
111 |
$8K |
| L3221 |
Orthopedic mens shoes dpth i |
90 |
67 |
$6K |
| T4537 |
Reusable underpad bed size |
137 |
127 |
$4K |
| A4927 |
Non-sterile gloves |
191 |
177 |
$822.55 |