1649333014

1649333014 was paid $655K by Medicaid between Jan 2018 and Mar 2021, across 12 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 55% of everything it billed.

33Billing provider info1649333014

33aNPI1649333014

33bProvider type—

28Total paid$655K

24GClaims10,154

24DCodes billed12

24AFirst – last monthJan 2018 – Mar 2021

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	2,457	$92K
2019	3,171	$215K
2020	3,596	$276K
2021	930	$71K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	55%	5,250	4,655	$362K
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	26%	387	352	$171K
E0441	Stationary oxygen contents, gaseous, 1 month's supply = 1 unit	10%	1,303	1,198	$69K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	5.4%	2,459	2,368	$35K
E0601	Continuous positive airway pressure (cpap) device	1.1%	96	95	$7K
E0562	Humidifier, heated, used with positive airway pressure device	<1%	44	44	$4K
A7030	Full face mask used with positive airway pressure device, each	<1%	38	38	$3K
E1392	Portable oxygen concentrator, rental	<1%	103	99	$1K
A7038	Filter, disposable, used with positive airway pressure device	<1%	375	367	$1K
A7037	Tubing used with positive airway pressure device	<1%	40	40	$905.98
E0443	Portable oxygen contents, gaseous, 1 month's supply = 1 unit	<1%	45	24	$221.66
A7003	Administration set, with small volume nonfiltered pneumatic nebulizer, disposable	<1%	14	13	$24.79

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.