1659353662

1659353662 was paid $727K by Medicaid between Jan 2018 and Feb 2021, across 20 billing codes. Its largest line is E0603, Breast pump, electric (ac and/or dc), any type — 50% of everything it billed.

33Billing provider info1659353662

33aNPI1659353662

33bProvider type—

28Total paid$727K

24GClaims11,846

24DCodes billed20

24AFirst – last monthJan 2018 – Feb 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	4,316	$256K
2019	4,344	$248K
2020	2,996	$207K
2021	190	$17K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
E0603	Breast pump, electric (ac and/or dc), any type	50%	2,872	2,842	$363K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	34%	2,534	2,519	$250K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	6.1%	2,088	2,076	$44K
E0570	Nebulizer, with compressor	3.9%	805	802	$28K
A6403	Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing	1.3%	664	486	$9K
A6446	Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard	1.2%	845	592	$9K
E0143	Walker, folding, wheeled, adjustable or fixed height	1.1%	143	141	$8K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	<1%	212	212	$4K
E0601	Continuous positive airway pressure (cpap) device	<1%	46	46	$4K
A4450	Tape, non-waterproof, per 18 square inches	<1%	937	702	$3K
A6260	Wound cleansers, any type, any size	<1%	433	399	$2K
A7030	Full face mask used with positive airway pressure device, each	<1%	16	16	$1K

8 more codes

E0562	Humidifier, heated, used with positive airway pressure device	<1%	51	$706.51
A7037	Tubing used with positive airway pressure device	<1%	45	$647.27
A7035	Headgear used with positive airway pressure device	<1%	12	$296.00
A7038	Filter, disposable, used with positive airway pressure device	<1%	82	$264.93
A7046	Water chamber for humidifier, used with positive airway pressure device, replacement, each	<1%	12	$90.82
A6216	Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	<1%	12	$84.50
A7015	Aerosol mask, used with dme nebulizer	<1%	25	$25.89
A7003	Administration set, with small volume nonfiltered pneumatic nebulizer, disposable	<1%	12	$19.36

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.