Supplier
Elite Medical Supply Group LLC
Elite Medical Supply Group LLC was paid $150K by Medicaid between Mar 2023 and Nov 2024, across 10 billing codes. Its largest line is L3030, Foot, insert, removable, formed to patient foot, each — 25% of everything it billed.
33Billing provider infoELITE MEDICAL SUPPLY GROUP LLC
BROOKLYN, NY 11235
BROOKLYN, NY 11235
33aNPI1629623210assigned 08/09/2019
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$150K
24GClaims3,453
24DCodes billed10
24AFirst – last monthMar 2023 – Nov 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in New York
Rank by total paid#236 of 479
Median peer was paid$138K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2023 | 1,773 | $91K | |
| 2024incomplete | 1,680 | $59K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| L3030 | Foot, insert, removable, formed to patient foot, each | 25% | 431 | 341 | $37K |
| A4554 | Disposable underpads, all sizes | 17% | 793 | 772 | $26K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 16% | 805 | 785 | $24K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 13% | 272 | 263 | $19K |
| L3216 | Orthopedic footwear, ladies shoe, depth inlay, each | 11% | 294 | 240 | $17K |
| T4539 | Incontinence product, diaper/brief, reusable, any size, each | 6.7% | 329 | 314 | $10K |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | 5.0% | 111 | 111 | $8K |
| L3221 | Orthopedic footwear, mens shoe, depth inlay, each | 3.7% | 90 | 67 | $6K |
| T4537 | Incontinence product, protective underpad, reusable, bed size, each | 2.4% | 137 | 127 | $4K |
| A4927 | Gloves, non-sterile, per 100 | <1% | 191 | 177 | $822.55 |
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 officialKOSTYLEV, MIKE (PRESIDENT)
Parent organizationELITE MEDICAL SUPPLY GROUP LLC
| Provider | Location | Paid |
|---|---|---|
| Silver Star Pharmacy INC | Brooklyn, NY | $2.38M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.