Medicaid Provider Spending

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

DEMETRICES MED SUPPLIES, LLC

NPI: 1639746126 · BRONX, NY 10467 · 335E00000X

$1K
Total Medicaid Paid
91
Total Claims
61
Beneficiaries
4
Codes Billed
2023-11
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 18 $505.62
2024 73 $632.72

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4239 Non-adju cgm supply allow 18 18 $505.62
A5500 Diab shoe for density insert 30 15 $327.52
L0627 Lo sag ri an/pos pnl pre cst 13 13 $206.10
A5512 Multi den insert direct form 30 15 $99.10